使用 Foley 导管引产术后剖宫产的危险因素。

Risk factors for cesarean section after using the Foley catheter for labor induction.

作者信息

Beta Jarosław, Issat Tadeusz, Nowicka Małgorzata A, Jakimiuk Artur J

机构信息

Klinika Poloznictwa, Chorób Kobiecych i Ginekologii Onkologicznej, Centrainy Szpital Kliniczny Ministerstwa Spraw Wewnrtrznych, Warszawa, Polska.

出版信息

Ginekol Pol. 2013 May;84(5):359-62. doi: 10.17772/gp/1589.

DOI:10.17772/gp/1589

PMID:23819401

Abstract

OBJECTIVE

The aim of the study was to investigate the value of the Bishop score and ultrasound examination of the cervix in predicting the success of labor induction with the use of the Foley catheter determined by the mode of delivery

MATERIAL AND METHODS

Foley catheter induction of labor was performed in 135 pregnancies between 38 to 42 weeks gestation. The study group was divided into two groups, depending of the mode of delivery: vaginal vs. cesarean.

RESULTS

The Bishop score was significantly higher in the vaginal delivery group when compared to the caesarean section group (5.2; 95%CI: 4.4 - 6.2 vs. 3.9; 95%CI: 2.8-4.9). Cervical length was not statistically significantly different between the two groups. Multivariate logistic regression showed that patient-specific risk for caesarean section decreases with increasing maternal age and the Bishop score (Detection Rate [DR] of 52% at fixed False Positive Rate [FPR] of 10%).

CONCLUSIONS

Failure of labor induction with the use of the Foley catheter can be predicted by maternal age and pre-induction Bishop score.

摘要

目的

本研究旨在探讨 Bishop 评分及宫颈超声检查在预测使用 Foley 导管引产成功与否（根据分娩方式确定）方面的价值。

材料与方法

对 135 例妊娠 38 至 42 周的孕妇进行 Foley 导管引产。根据分娩方式，研究组分为两组：阴道分娩组与剖宫产组。

结果

与剖宫产组相比，阴道分娩组的 Bishop 评分显著更高（5.2；95%置信区间：4.4 - 6.2 对比 3.9；95%置信区间：2.8 - 4.9）。两组之间的宫颈长度无统计学显著差异。多因素逻辑回归显示，剖宫产的患者特异性风险随产妇年龄和 Bishop 评分的增加而降低（在固定假阳性率[FPR]为 10%时，检测率[DR]为 52%）。