COOK子宫颈扩张球囊在晚期妊娠孕妇促宫颈成熟中的应用价值

doi:10.3969/j.issn.1671-7171.2018.04.012

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Abstract 【Objective】To analyze the clinical effects of Cook cervical dilatation balloon in promoting the cervical ripening in women with late-stage pregnancy.【Methods】A total of 189 cases of induced abortion syndrome patients from January 2014 to January 2017 in our hospital were included in the study. According to the different processing methods, patients were divided into Cook cervical dilatation balloon group (COOK group), dinoprostone group and oxytocin group, with 63 cases in each group. The effects of cervical ripening and the rate of vaginal delivery among those groups were compared.【Results】There were no significant differences in cervical Bishop scores among the three groups before induction of labor (P>0.05). In the COOK group, the cervical Bishop score was (4.3±1.9) after Cook cervical dilatation balloon treatment, which was significantly higher than that before induction of labor (P<0.05). No statistical difference was shown in cervical Bishop score between the dinoprostone group and oxytocin group before and after treatment (P>0.05). In the Cook group, 51 cases of natural childbirth, and 12 cases of cesarean section; the vaginal delivery rate was 80.95%.The rate of natural childbirth in the dinoprostone group was 76.19%, which was not significant different compared to the COOK group (P>0.05), however, they both were significantly higher than that in the oxytocin group (58.73% P<0.05).【Conclusion】Cook cervical dilatation balloon is used as a mechanical method to promote cervical ripening, which can increase vaginal delivery rate significantly with high safety levels and fewer complications. It is an ideal method for promoting cervical ripening in late-stage pregnancy.

Key words： Pregnancy Trimester, Third Cervix Uteri Balloon Dilatation Cervical Ripening Pregnant Women

Received: 30 September 2017

PACS:

R714.1

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	LIU Ying-ju
	RUAN He-yun
	XU Li-hu
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Cite this article:

LIU Ying-ju,RUAN He-yun,XU Li-hu, et al. Clinical Observations of Cook Cervical Dilatation Balloon in Promoting Cervical Ripening in Women with Advanced Pregnancy[J]. JOURNAL OF CLINICAL RESEARCH, 2018, 35(4): 661-663.

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http://www.jcr.net.cn/EN/10.3969/j.issn.1671-7171.2018.04.012 OR http://www.jcr.net.cn/EN/Y2018/V35/I4/661

[1]	. [J]. JOURNAL OF CLINICAL RESEARCH, 2018, 35(5): 978-980.