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Planned Induction of Labour Versus Planned Caesarean Delivery in Women with Severe Pre-eclampsia at Term-a Randomized Controlled Trial.足月重度子痫前期女性计划引产与计划剖宫产的随机对照试验
J Obstet Gynaecol India. 2025 Apr;75(Suppl 1):310-316. doi: 10.1007/s13224-024-01981-x. Epub 2024 May 15.
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本文引用的文献

1
Women´s experiences of preeclampsia as a condition of uncertainty: a qualitative study.女性对先兆子痫这种不确定状况的体验：一项定性研究。
BMC Pregnancy Childbirth. 2022 Jun 28;22(1):521. doi: 10.1186/s12884-022-04826-5.
2
Comparison of Fetomaternal Outcome Between Planned Vaginal Delivery and Planned Cesarean Section in Women with Eclampsia: Observational Study.子痫患者计划阴道分娩与计划剖宫产母婴结局的比较：观察性研究
J Obstet Gynaecol India. 2021 Aug;71(4):369-378. doi: 10.1007/s13224-021-01432-x. Epub 2021 Mar 4.
3
Maternal and perinatal outcomes in women with eclampsia by mode of delivery at Riley mother baby hospital: a longitudinal case-series study.瑞利母婴医院不同分娩方式的子痫前期产妇及其围产儿结局：一项纵向病例系列研究。
BMC Pregnancy Childbirth. 2021 Jun 24;21(1):439. doi: 10.1186/s12884-021-03875-6.
4
Planned caesarean section versus planned vaginal birth for severe pre-eclampsia.重度子痫前期患者计划剖宫产与计划阴道分娩的比较
Cochrane Database Syst Rev. 2017 Oct 23;10(10):CD009430. doi: 10.1002/14651858.CD009430.pub2.
5
Caesarean Delivery and Postpartum Maternal Mortality: A Population-Based Case Control Study in Brazil.剖宫产与产后孕产妇死亡率：巴西一项基于人群的病例对照研究
PLoS One. 2016 Apr 13;11(4):e0153396. doi: 10.1371/journal.pone.0153396. eCollection 2016.
6
Maternal outcomes according to mode of delivery in women with severe preeclampsia: a cohort study.重度子痫前期女性分娩方式的母儿结局：一项队列研究
J Matern Fetal Neonatal Med. 2015 Apr;28(6):654-60. doi: 10.3109/14767058.2014.928689. Epub 2014 Jun 30.
7
Does route of delivery affect maternal and perinatal outcome in women with eclampsia? A randomized controlled pilot study.分娩方式是否会影响子痫前期产妇及其围生儿结局？一项随机对照初步研究。
Am J Obstet Gynecol. 2012 Jun;206(6):484.e1-7. doi: 10.1016/j.ajog.2012.04.009. Epub 2012 Apr 6.
8
Planned vaginal delivery versus planned caesarean section: short-term medical outcome analyzed according to intended mode of delivery.计划阴道分娩与计划剖宫产：根据预期分娩方式分析短期医学结局。
J Obstet Gynaecol Can. 2011 Aug;33(8):796-802. doi: 10.1016/S1701-2163(16)34982-9.
9
Epidemiology of pre-eclampsia and the other hypertensive disorders of pregnancy.子痫前期和其他妊娠高血压疾病的流行病学。
Best Pract Res Clin Obstet Gynaecol. 2011 Aug;25(4):391-403. doi: 10.1016/j.bpobgyn.2011.01.006. Epub 2011 Feb 18.
10
Caesarean section on maternal request: risks and benefits in healthy nulliparous women and their infants.产妇要求下的剖宫产：健康初产妇及其婴儿的风险与益处
J Obstet Gynaecol Can. 2009 Sep;31(9):808-817. doi: 10.1016/S1701-2163(16)34299-2.

足月重度子痫前期女性计划引产与计划剖宫产的随机对照试验

Planned Induction of Labour Versus Planned Caesarean Delivery in Women with Severe Pre-eclampsia at Term-a Randomized Controlled Trial.

作者信息

Sahu Bheshna, Chaudhuri Snehamay, Ghosh Debnath

机构信息

Department of Obstetrics and Gynecology, Midnapore Medical College, Paschim Midnapore, West Bengal India.

Durg, India.

出版信息

J Obstet Gynaecol India. 2025 Apr;75(Suppl 1):310-316. doi: 10.1007/s13224-024-01981-x. Epub 2024 May 15.

DOI:10.1007/s13224-024-01981-x
PMID:40390879
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12085531/
Abstract

BACKGROUND

The aim of this study is to investigate whether planned caesarean delivery compared to planned induction of labour in women with severe pre-eclampsia at gestational age of more than 37 weeks of pregnancy will reduce maternal morbidity and/or perinatal morbidity.

METHOD

This randomized controlled study was conducted from April 2021 to March 2022 at Department of Obstetrics and Gynecology of Midnapore Medical College, West Bengal. Data were analysed with respect to socio demographic status, clinical presentation, complications and their management.

RESULT

One hundred and seventy-six women with severe pre-eclampsia were screened for eligibility, and 140 were included in the study. In 58.6% patients, the induction was successful. Type of delivery was successful in vaginal 37 (90.2%) and instrumental (ventouse and forceps) in four (19.8%) of the cases. In induction group, the most common reason for LSCS was MSL with foetal bradycardia. Foetal distress was seen in 22.90% of induction group, while absent in LSCS group.

CONCLUSION

In our study, we found that there was no differences in the primary maternal outcome and the secondary maternal outcome between the two groups. The primary neonatal outcome was significantly poor in induction group, whereas good in LSCS group. So LSCS is better option in patients with severe pre-eclampsia at term. Key words-Severe Pre-eclampsia, Induction of labour.

摘要

背景

本研究旨在调查孕周超过37周的重度子痫前期孕妇计划剖宫产与计划引产相比，是否会降低孕产妇发病率和/或围产期发病率。

方法

本随机对照研究于2021年4月至2022年3月在西孟加拉邦米德纳布尔医学院妇产科进行。分析了社会人口统计学状况、临床表现、并发症及其处理的数据。

结果

对176例重度子痫前期妇女进行了资格筛查，140例纳入研究。58.6%的患者引产成功。分娩方式中，37例（90.2%）经阴道成功分娩，4例（19.8%）借助器械（胎头吸引术和产钳）分娩。在引产组，剖宫产的最常见原因是伴有胎儿心动过缓的母亲严重疾病。引产组22.90%出现胎儿窘迫，而剖宫产组未出现。

结论

在我们的研究中，我们发现两组之间的主要孕产妇结局和次要孕产妇结局没有差异。引产组的主要新生儿结局明显较差，而剖宫产组良好。因此，对于足月重度子痫前期患者，剖宫产是更好的选择。关键词——重度子痫前期、引产