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| Discussion on the usage time of COOK cervical balloon dilator to promote cervical maturation |
| LI Fei-zhen |
| Department of Obstetrics and Gynecology,Jingdezhen First Hospital,Jiangxi Province,Jingdezhen 333000,China |
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Abstract Objective To explore the usage time of COOK cervical balloon dilator to promote cervical maturation.Methods A total of 105 pregnant and full-term women who had induced labor in Jingdezhen First Hospital from February 2018 to December 2019 were selected as the study objects.According to the random number table method，the selected patients were divided into the observation group (52 cases) and the control group (53 cases).In the control group,COOK cervical balloon was placed at 8∶00 p.m.of the day before induction of labor,and which was taken out at 8∶00 a.m.of the next day,it was placed for 12 h.In the observation group,COOK cervical balloon was placed at 10∶00 p.m.of the day before induction of labor,and which was taken out at 6∶00 a.m.of the next day,it was placed for 8 h.The cervical score,fetal heart rate monitoring score and pregnant women′s body temperature before balloon placement and after removing balloon were recorded,and the first stage,second stage and third stage of labor were compared between the two groups.Results The differences were not statistically significant in cervical score and fetal heart rate monitoring score between the two groups before balloon placement (P>0.05).The cervical score and fetal heart rate monitoring score of the two groups after removing balloon were higher than those before balloon placement,with significant statistics differences (P<0.05).The differences were not statistically significant in cervical score and fetal heart rate monitoring score between the observation group and the control group after removing balloon (P>0.05).The difference was not statistically significant in body temperature between the two groups before balloon placement (P>0.05).The differences were not statistically significant in body temperatures of the two groups between before balloon placement and after removing balloon (P>0.05).The difference was not statistically significant in body temperature between the two groups after removing balloon (P>0.05).There were no significant differences between the observation group and the control group in the first,second and third stages of labor (P>0.05).There were no significant differences in the levels of C-reactive protein,procalcitonin and leukocyte count between the two groups before balloon placement (P>0.05).The levels of C-reactive protein,procalcitonin and leukocyte count in the control group after removing balloon were higher than those before balloon placement,with significant statistics differences (P<0.05).The levels of C-reactive protein,procalcitonin and leukocyte count of the observation group after removing balloon were lower than those of the control group,with significant statistics differences (P<0.05).There were no significant differences in the levels of C-reactive protein,procalcitonin and leukocyte count of the observation group after removing balloon and before balloon placement (P>0.05).Conclusion The effect of COOK cervical balloon dilator to promote cervical maturation is significant,which can significantly improve cervical score and fetal heart rate monitoring score,and the effect of 8 hours of placement is equivalent to 12 hours,so 8 hours placement is the first choice clinically.However,12 hours placement can improve the levels of C-reactive protein,procalcitonin and leukocyte count.Therefore,the clinician can choose the placement time according to the condition of the pregnant woman.
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