Effect of different cervical ripening regimens on maternal-infant outcomes and postoperative recovery in patients with gestational diabetes mellitus of full-term pregnancy
WU Dan-dan
Department of Obstetrics and Gynecology，Dalian Maternal and Child Health Hospital，Liaoning Province，Dalian 116021，China
Abstract： Objective To explore the effect of different cervical ripening regimens on maternal-infant outcomes and postoperative recovery in patients with gestational diabetes mellitus(GDM)of full-term pregnancy.Methods Retrospective analysis was performed on clinical data of 150 GDM patients from January 2016 to June 2018 in Dalian Maternal and Child Health Hospital，and the patients were divided into three groups according to the treatment methods，including single balloon group，double balloon group and Oxytocin group，50 cases in each group.Single balloon group was given Foly catheter，double balloon group was given COOK balloon，and Oxytocin group was given Oxytocin.The clinical efficacy of cervical ripening and maternal-infant outcomes were compared among the three groups，and the recovery was evaluated by recording the postoperative adverse reactions.Results After treatment，the total effective rate of cervical maturation in double balloon group (96.00%) was higher than that in single balloon group (84.00%) and Oxytocin group(66.00%)，that in single balloon group was higher than that of Oxytocin group，with statistical significances(P＜0.05).The cesarean section rate of single balloon group (10.00%) was lower than that of double balloon group(26.00%)，and that of double balloon group (26.00%) was lower than that of Oxytocin group (46.00%)，with statistical differences (P＜0.05).There was no significant difference in other maternal-infant outcomes incidence rate (postpartum hemorrhage，intrauterine infection，fetal distress and neonatal asphyxia) among the three groups (P＞0.05).The total incidence of adverse reactions in single balloon group (4.00%) was not significantly different from that in double balloon group (6.00%) (P＞0.05).The total incidence of adverse reactions in single balloon group and double balloon group was lower than that of the Oxytocin group (20.00%)，and the differences were statistically significant (P＜0.05).Conclusion Cervical dilation balloon technique is more conducive to postoperative recovery of GDM patients with fullterm pregnancy，and single dilation balloon is more conducive to natural delivery，and double-balloon group has a better effect of cervical ripening.
吴丹丹. 不同促宫颈成熟方案对足月妊娠妊娠期糖尿病患者母婴结局及术后恢复的影响[J]. 中国当代医药, 2020, 27(33): 105-107.
WU Dan-dan. Effect of different cervical ripening regimens on maternal-infant outcomes and postoperative recovery in patients with gestational diabetes mellitus of full-term pregnancy. 中国当代医药, 2020, 27(33): 105-107.
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