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首页> 外文期刊>International Journal of Reproductive Medicine >Foley Catheter versus Vaginal Misoprostol for Labour Induction
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Foley Catheter versus Vaginal Misoprostol for Labour Induction

机译：Foley导管vs阴道米索前列醇引产

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Objectives. To compare the efficacy and safety of intravaginal misoprostol with transcervical Foley catheter for labour induction.Material and Methods. One hundred and four women with term gestation, with Bishop score < 4, and with various indications for labour induction were randomly divided into two groups. In Group I, 25 μg of misoprostol tablet was placed intravaginally, 4 hourly up to maximum 6 doses. In Group II, Foley catheter 16F was placed through the internal os of the cervix under aseptic condition and then inflated with 50 cc of sterile saline. Statistical analysis was done using SPSS software.Results. The induction to delivery interval was 14.03 ± 7.61 hours versus 18.40 ± 8.02 hours (p<0.01). The rate of vaginal delivery was 76.7% versus 56.8% in misoprostol and transcervical Foley catheter group, respectively. Uterine hyperstimulation was more common with misoprostol. Neonatal outcome was similar in both the groups.Conclusion. Intravaginal misoprostol is associated with a shorter induction to delivery interval as compared to Foley’s catheter and it increases the rate of vaginal delivery in cases of unripe cervix at term. Transcervical Foley catheter is associated with a lower incidence of uterine hyperstimulation during labour.
机译：目标。比较阴道米索前列醇与经宫颈Foley导管引产的疗效和安全性。材料与方法。将104名足月妊娠，Bishop得分<4且有多种引产迹象的妇女随机分为两组。在第一组中，将25μg米索前列醇片剂阴道内放置，每小时4小时，最多6剂。在第二组中，在无菌条件下，将Foley导管16F穿过子宫颈的内部os，然后向其中注入50 cc无菌盐水。使用SPSS软件进行统计分析。诱导间隔为14.03±7.61小时，而诱导时间为18.40±8.02小时（p <0.01）。阴道分娩率为76.7％，而米索前列醇和经宫颈Foley导管组的阴道分娩率为56.8％。米索前列醇更常见于子宫过度刺激。两组的新生儿结局相似。与Foley的导管相比，阴道内的米索前列醇与分娩间隔的诱导更短有关，并且在足月未成熟子宫颈的情况下，它可以提高阴道分娩的速度。经宫颈Foley导管与分娩过程中子宫过度刺激的发生率较低相关。

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