Kleszcz Agnieszka K, Ćwiek Dorota, Sipak-Szmigiel Olimpia
Department of Obstetrics and Pathology of Pregnancy, Pomeranian Medical University in Szczecin, ul. Żołnierska 48, Szczecin, 71-210, Poland.
Hochschule für Gesundheitsfachberufe in Eberswalde, Schicklerstraße 20, 16225, Eberswalde, Germany.
BMC Pregnancy Childbirth. 2025 Jan 27;25(1):72. doi: 10.1186/s12884-024-07015-8.
The benefits and risks of delivery should always be considered before initiating preinduction cervical ripening and labor induction. Understanding the benefits and potential complications is crucial for healthcare professionals to make informed decisions and provide optimal care. The research was conducted retrospectively between January 2019 and July 2022. It involved the analysis of the medical records of 154 pregnant women staying in the Clinic of Obstetrics and Gynecology in the city of Szczecin and 150 pregnant women hospitalized in the Clinic of Obstetrics and Gynecology in the town of Schwedt/Oder in Germany. Inclusion criteria were consent to participate and the implementation of internal written protocols in line with national guidelines for labor induction. The research concerned a group of pregnant women with postdate pregnancy, calculated according to the Naegele's rule and confirmed by the USG examination conducted in the first trimester of the pregnancy, as well as an unfavorable cervix that received less than 6 points in the Bishop score. Moreover, the pregnant patients with a low biophysical profile and an abnormal record of CTG or comorbidities were also included, as these factors determined the classification of the group above. The study did not include patients who had undergone cesarean section. The average change in evaluation of the cervix marked on the Bishop Score was higher in Germany, and it was 2.7 points, whereas in Poland, it was 1.6 points. The largest percentage of the scores on the Apgar Scale in the first, third and fifth minutes after birth was in the norm and indicated a good health condition of infants. They reached 8 to 10 points in both countries. Significantly more infants in Germany received pH from the umbilical cord within the limits of the norm. And it marks the welfare of neonates (7.20-7.45). The duration of hospitalization in Poland was shorter than in Germany. It was 3.8 days in the case when the median equalled 3. The number of days of preinduction cervical ripening and induction was similar in both countries. The levels of haemoglobin were comparable in both countries. The most common postpartum complications in Poland and Germany were first-degree perineal tears, episiotomies and anemia. Among the postpartum complications, cervical tears, revision of the uterine cavity, and episiotomy were significantly more common in Poland. First- and second-degree perineal tears were more frequent in Germany.
在开始引产术前宫颈成熟和引产之前，应始终考虑分娩的益处和风险。了解这些益处和潜在并发症对于医护人员做出明智决策并提供最佳护理至关重要。该研究于2019年1月至2022年7月进行回顾性研究。它涉及对154名住在什切青市妇产科诊所的孕妇以及150名在德国施韦特/奥得河畔小镇妇产科诊所住院的孕妇的病历进行分析。纳入标准为同意参与以及实施符合国家引产指南的内部书面方案。该研究涉及一组过期妊娠孕妇，根据内格莱法则计算并经孕期头三个月进行的超声检查确认，以及宫颈条件不佳（Bishop评分低于6分）的孕妇。此外，生物物理评分低、CTG记录异常或有合并症的孕妇也被纳入，因为这些因素决定了上述组别的分类。该研究不包括接受过剖宫产的患者。德国Bishop评分中宫颈评估的平均变化更高，为2.7分，而在波兰为1.6分。出生后第一、第三和第五分钟阿氏评分处于正常范围的百分比最高，表明婴儿健康状况良好。两国该评分均达到8至10分。德国明显更多的婴儿脐带血pH值在正常范围内。这标志着新生儿的健康状况（7.20 - 7.45）。波兰的住院时间比德国短。当中位数为3天时，波兰为3.8天。两国引产术前宫颈成熟和引产的天数相似。两国血红蛋白水平相当。波兰和德国最常见的产后并发症是一度会阴撕裂、会阴切开术和贫血。在产后并发症中，宫颈撕裂、宫腔探查和会阴切开术在波兰明显更常见。德国一度和二度会阴撕裂更频繁。
