Sangram Singh Biswambhar, Joshi Ketav, Pajai Sandhya
Obstetrics and Gynecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2023 Jan 17;15(1):e33855. doi: 10.7759/cureus.33855. eCollection 2023 Jan.
Labour induction involves helping a woman to start her labour, before labour begins on its own, for a vaginal birth with the aid of artificial methods, such as medications or other medical techniques. Labour induction is done in cases where extending the pregnancy can threaten the mother or her baby's health, and delivery should result in better outcomes than continuing the pregnancy. Currently, nearly 25% of babies are born by labour induction in economically developed countries. It is often necessary in certain situations to induce labour by using ripening techniques that not only soften the cervix but also make it thin and dilated. Mechanical or pharmacological approaches are used for the artificial induction of labour. Because research articles evaluating the safety and efficacy of various ripening techniques of the cervix vary in terms of their findings, it remains uncertain as to which is the best way to induce labour. In light of this, to find out the most popular interventions for ripening of the cervix during labour induction, we performed a review of the literature that compares the use of a Foley catheter and prostaglandins (misoprostol and dinoprostone). Our findings show that using misoprostol orally is much better than using it vaginally. Foley catheter proved to be the least effective induction technique, despite the fact that it offers the lowest risk.
引产是指在自然分娩开始前,借助人工方法(如药物或其他医疗技术)帮助孕妇启动分娩,以实现阴道分娩。引产适用于延长孕期可能威胁母亲或胎儿健康的情况,且分娩应比继续妊娠产生更好的结果。目前,在经济发达国家,近25%的婴儿通过引产出生。在某些情况下,通常需要使用促宫颈成熟技术引产,这些技术不仅能软化宫颈,还能使其变薄并扩张。机械或药物方法可用于人工引产。由于评估各种宫颈成熟技术安全性和有效性的研究文章结果各异,因此哪种引产方式最佳仍不确定。鉴于此,为了找出引产过程中最常用的宫颈成熟干预措施,我们对比较使用福莱氏尿管和前列腺素(米索前列醇和地诺前列酮)的文献进行了综述。我们的研究结果表明,口服米索前列醇比阴道使用效果好得多。尽管福莱氏尿管风险最低,但却是最无效的引产技术。