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| Comparison of the effects of COOK cervical dilatation balloon and Oxytocin in promoting cervical ripening and induction of labor |
| ZHANG Yuan-feng ZHANG Yuan LIU Yi-xue |
| Department of Obstetrics and Gynecology, Maternal and Child Health Care Hospital of Yangjiang City, Guangdong Province, Yangjiang 529500, China |
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Abstract Objective To compare the effect of COOK cervical dilatation balloon and Oxytocin in promoting cervical ripening and induction of labor. Methods A total of 300 primiparas who were hospitalized in our hospital from September 2017 to September 2018 were selected and randomly divided into the observation group and the control group, 150 cases in each group. The observation group was given COOK cervical dilatation balloon to induce labor,and the control group was given Oxytocin to induce labor. The cervical Bishop score, natural delivery rate, cesarean section rate, labor time, postpartum hemorrhage, neonatal condition and labor-related complications were compared between the two groups. Results The Bishop score of the observation group was significantly higher than that of the control group, and the difference was statistically significant (P＜0.05). The natural delivery rate of the observation group was higher than that of the control group, and the difference was statistically significant (P＜0.05). The cesarean section rate of the observation group was significantly lower than that of the control group, and the postpartum hemorrhage volume of the observation group was less than that of the control group, and the total labor time of the observation group was shorter than that of the control group, the difference was statistically significant (P＜0.05). The incidence of neonatal fetal distress, neonatal asphyxia and amniotic fluid fecal infection in the observation group were significantly lower than those in the control group, the difference was statistically significant (P＜0.05). The Apgar score of the newborns in the observation group was significantly higher than that of the control group, and the difference was statistically significant(P＜0.05). The total incidence of complications of maternal labor induction in the observation group was significantly lower than that of the control group, and the difference was statistically significant (P＜0.05). Conclusion COOK cervical dilatation balloon can effectively promote cervical ripening, improve natural delivery rate, shorten labor, reduce cesarean section rate, improve maternal and child outcome, reduce the incidence of complication, and it is worthy of clinical promotion.
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