用于引产的 Foley 导管：采用该技术的潜在障碍。
Foley catheter for induction of labor: potential barriers to adopting the technique.
作者信息
Edwards R K, Szychowski J M, Bodea-Braescu A V, Biggio J R, Lin M G
机构信息
Maternal-Fetal Medicine Division, Department of Obstetrics and Gynecology, Center for Women's Reproductive Health, Women and Infants Center, University of Alabama at Birmingham; Birmingham, AL, USA.
Phoenix Perinatal Associates; Maternal-Fetal Medicine; Obstetrix/Mednax; Phoenix, AZ, USA.
出版信息
J Perinatol. 2015 Dec;35(12):996-9. doi: 10.1038/jp.2015.123. Epub 2015 Oct 15.
OBJECTIVE
To evaluate if a learning curve exists for cervical Foley placement for labor induction in women with unfavorable cervices and whether labor curves differ compared with the dinoprostone insert (PGE2).
STUDY DESIGN
We conducted a secondary analysis of a multicenter randomized controlled trial.
RESULT
For Foley and PGE2, successful placement occurred in 157/185 (85%) and 188/191 (98%) women (P<0.001). Unsuccessful Foley placements decreased over time (P=0.005); all occurred at the site previously using PGE2 preferentially. In women with allocated agent placed successfully who achieved complete cervical dilation, median progress with Foley (n=112), compared with PGE2 (n=123), was: 1-3 cm (6.2 vs 14.1 h; P<0.001), 3-6 cm (11.1 vs 6.7 h; P<0.001) and 6-10 cm (1.9 vs 1.5 h; P=0.14).
CONCLUSION
There is a learning curve for placing cervical Foley catheters. Despite faster times to delivery, Foley is associated with slower dilation from 3 to 6 cm compared with PGE2.
目的
评估对于宫颈条件不佳的女性，在引产时放置宫颈福乐氏导尿管是否存在学习曲线，以及与地诺前列酮栓（PGE2）相比，产程曲线是否存在差异。
研究设计
我们对一项多中心随机对照试验进行了二次分析。
结果
对于福乐氏导尿管和PGE2，成功放置分别发生在157/185（85%）和188/191（98%）的女性中（P<0.001）。福乐氏导尿管放置失败的情况随时间减少（P=0.005）；所有失败均发生在先前优先使用PGE2的部位。在成功放置分配药物且宫颈完全扩张的女性中，与PGE2组（n=123）相比，福乐氏导尿管组（n=112）宫颈扩张的中位进展时间为：1 - 3厘米（6.2小时对14.1小时；P<0.001），3 - 6厘米（11.1小时对6.7小时；P<0.001）以及6 - 10厘米（1.9小时对1.5小时；P=0.14）。
结论
放置宫颈福乐氏导尿管存在学习曲线。尽管分娩时间更快，但与PGE2相比，福乐氏导尿管在宫颈从3厘米扩张到6厘米阶段的扩张速度较慢。
Zotero 插件