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Clinical effect observation of COOK urethral dilation balloon in the cervical ripening and labor induction for different age groups |
JIAO Jie1,2 CHENG Hong3▲ PENG Wen1 ZHA Yuan1 |
1.Medical College of Wuhan University of Science and Technology,Wuhan430000,China;
2.Department of Gynecology and Obstetrics,Shanghai China metallurgical Hospital,Shanghai200941,China;
3.Gynecology and Obstetrics Teaching and Research Section,Medical College of Wuhan University of Science and Technology,Wuhan430000,China |
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Abstract Objective To observe the clinical effect of COOK urethral dilation balloon in the cervical ripening and labor induction for different age groups.Methods 96 pregnant women delivered in our hospital from March 2015 to March 2016 were selected and divided into observation Group 1(23-<35 years old),observation Group 2(≥35 years old)according to different age of pregnant women,48 cases in each group,COOK urethral dilation balloon was applied to improve the cervical ripening and labor induction.The cervical ripening condition,the successful rate of induced labor,the condition of delivery,and the condition of the fetus and the mother in different age groups were observed.Results The rate of cervical ripening in the observation Group 1 and the observation Group 2 was 95.8%,83.3%,and the difference was statistically significant(P<0.05);compared with the observation Group 1,in the observation Group 2 the first duration of labor and the total labor wan longer,postpartum hemorrhage volume was more,the success rate was low(P<0.05); incidence rate of neonatal asphyxia,fetal distress,cervical laceration,hematoma of vagina in the observation Group 2 was 16.7%,18.8%,29.2%,25.0%,higher than 6.3%,4.2%,10.4%,10.4%in the observation Group 1(P<0.05).Conclusion The clinical use of Cook cervical dilation balloon to help women in labor,the success rate is high,but for the different age women aged over 35 years than under 35 years of maternal have more maternal bleeding volume,lower labor success rate,higher incidence of adverse outcomes.
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