COOK球囊引产在足月妊娠高血压产妇中的应用效果

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Abstract Objective To explore the application effect of COOK balloon induced labor in full-term pregnancy women with hypertension. Methods A total of 136 full-term pregnancy women with hypertension treated in the Department of Obstetrics of Huiyang Sanhe Hospital from February to December 2020 were selected as the research objects. They were divided into the control group (68 cases) and the study group (68 cases) according to random number table method. The control group was induced by oral Misoprostol, and the study group was induced by COOK double balloon. The delivery outcomes, cervical maturity, duration of labor, the mode of delivery and neonatal outcome were compared between the two groups. Results The first stage of labor and the total stage of labor in the study group were lower than those in the control group, the differences were statistically significant (P＜0.05). There was no significant difference in the second stage of labor between the two groups (P＞0.05). There was no significant difference in the Bishop score of cervical maturity between the two groups before intervention (P＞0.05). After intervention, the Bishop score of the study group was higher than that of the control group, the difference was statistically significant (P＜0.05). There were no significant differences in neonatal weight, 5-minute Apgar score, neonatal asphyxia, hyperbilirubinemia and neonatal infection between the two groups (P＞0.05). The vaginal delivery rate in the study group was 75.00%, which was higher than that in the control group (52.94%), the difference was statistically significant (P＜0.05). The incidence rates of uterine contraction, postpartum urinary retention and postpartum hemorrhage in the study group were lower than those in the control group, the differences were statistically significant (P＜0.05). There were no significant differences in the incidences of acute labor and amniotic fluid pollution between the two groups (P＞0.05). Conclusion Compared with Misoprostol induction of labor, the use of COOK double balloon for induction of labor in full-term pregnancy-induced hypertension can help reduce the incidence of complications after delivery, promote cervical ripening, shorten the time of labor, and increase the rate of vaginal delivery. It is worth promoting.

Key words： Misoprostol Hypertension Full-term pregnancy COOK balloon Vaginal delivery

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	LAI Lizhen
	LIU Li
	LI Lili

Cite this article:

LAI Lizhen,LIU Li,LI Lili. Application effect of COOK balloon induced labor in full-term pregnancy women with hypertension[J]. 中国当代医药, 2022, 29(21): 95-98.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2022/V29/I21/95

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