Kayser U, Trotnow S
Geburtshilfe Frauenheilkd. 1975 Jul;35(7):525-32.
Stripping of the membranes for induction of labour is "harmless to mother and infant in contra-distinction to the induction of labour by artifical rupture of the membranes. Our results show that stripping of the membranes has no influence on labour and delivery, on the rate of operative deliveries and on the duration of the third stage of labour. There is no appreciable increase in puerperal morbidity. The Apgar Score remains unchanged. The success rate of stripping of the membranes defined as delivery within 48 hours after stripping of the membranes is related to the state of ripening of the uterine cervix and to the ease with which the membranes can be stripped. These factors should be considered for the indication of stripping of the membranes. The success rate can then be increased. Our overall success rate of induction of labour by stripping of the membranes was 60.8%. The success rate of stripping of the membranes in multiparous women is slightly but not significantly better than in primparous women. The age of the patient has no influence on the success rate.
与人工破膜引产不同,剥膜引产对母婴无害。我们的结果表明,剥膜对产程和分娩、手术分娩率及第三产程持续时间均无影响。产褥发病率无明显增加。阿氏评分保持不变。剥膜引产成功率(定义为剥膜后48小时内分娩)与宫颈成熟度及剥膜难易程度有关。进行剥膜引产时应考虑这些因素,如此则可提高成功率。我们剥膜引产的总体成功率为60.8%。经产妇剥膜引产成功率略高于初产妇,但差异无统计学意义。患者年龄对成功率无影响。