Department of Obstetrics and Gynecology, University of California, Irvine School of Medicine, 333 City Boulevard West, Suite 1400, Orange, CA 92868, USA.
Department of Obstetrics and Gynecology, University of California, Irvine School of Medicine, 333 City Boulevard West, Suite 1400, Orange, CA 92868, USA.
Obstet Gynecol Clin North Am. 2017 Dec;44(4):567-582. doi: 10.1016/j.ogc.2017.08.011.
Induction of labor is a common procedure undertaken whenever the benefits of prompt delivery outweigh the risks of expectant management. Cervical assessment is essential to determine the optimal approach. Indication for induction, clinical presentation and history, safety, cost, and patient preference may factor into the selection of methods. For the unfavorable cervix, several pharmacologic and mechanical methods are available, each with associated advantages and disadvantages. In women with a favorable cervix, combined use of amniotomy and intravenous oxytocin is generally the most effective approach. The goal of labor induction is to ensure the best possible outcome for mother and newborn.
引产是一种常见的程序，只要及时分娩的益处超过期待管理的风险即可进行。宫颈评估对于确定最佳方法至关重要。引产的指征、临床表现和病史、安全性、成本和患者偏好可能会影响方法的选择。对于不利的宫颈，有几种药物和机械方法可供选择，每种方法都有其优缺点。对于宫颈条件良好的女性，通常联合使用羊膜穿刺术和静脉滴注催产素是最有效的方法。引产的目的是确保母婴获得最佳结果。
