足月宫颈条件不佳的女性中，Foley导尿管与阴道内前列腺素E2用于促宫颈成熟的随机对照试验。
Foley catheter versus intravaginal prostaglandins E2 for cervical ripening in women at term with an unfavorable cervix: a randomized controlled trial.
作者信息
Barda Giulia, Ganer Herman Hadas, Sagiv Ron, Bar Jacob
机构信息
a Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine , E. Wolfson Medical Center , Holon , Israel.
b Sackler Faculty of Medicine , Tel Aviv University , Tel Aviv , Israel.
出版信息
J Matern Fetal Neonatal Med. 2018 Oct;31(20):2777-2781. doi: 10.1080/14767058.2017.1355906. Epub 2017 Aug 16.
OBJECTIVE
The objective of this study is to compare the efficacy of labor induction by Foley catheter balloon (FCB) insertion to intravaginal dinoprostone tablet placement in women with an unfavorable cervix.
MATERIALS AND METHODS
A prospective randomized controlled trial was conducted. Women were assigned to insertion of a FCB or placement of a vaginal dinoprostone tablets and their outcome were compared.
RESULTS
The study comprised 300 women. The time to active labor was significantly shorter in the FCB compared with the dinoprostone group, but required more oxytocin administration. A lower rate of cesarean section was found only in nulliparous women in the FCB group. The neonatal outcome was favorable and similar in both groups.
CONCLUSION
Both methods had similar results regarding achieving vaginal delivery within 24 h and cesarean section rate. For nulliparous women, the FCB induction method had the advantage of a shorter time to active labor and a lower rate of cesarean section.
目的
本研究的目的是比较宫颈条件不佳的女性中，使用 Foley 导管球囊（FCB）引产与阴道放置地诺前列酮片引产的效果。
材料与方法
进行了一项前瞻性随机对照试验。将女性分为 FCB 置入组或阴道放置地诺前列酮片组，并比较其结局。
结果
该研究纳入了 300 名女性。与地诺前列酮组相比，FCB 组进入活跃期分娩的时间显著更短，但需要更多的缩宫素使用。仅在 FCB 组的初产妇中发现剖宫产率较低。两组的新生儿结局良好且相似。
结论
在 24 小时内实现阴道分娩和剖宫产率方面，两种方法的结果相似。对于初产妇，FCB 引产方法具有进入活跃期分娩时间更短和剖宫产率更低的优势。
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