晚期妊娠三种引产方法的临床比较

目的探讨三种引产方法用于晚期妊娠引产的安全与效果。方法对300例妊娠37～42周有引产指征初产妇随机分为3组:米索组、蓖麻油餐组、催产素组各100例,分别使用米索前列醇、蓖麻油煎鸡蛋与低浓度催产素三种引产方法。结果米索组引产有效率明显高于蓖麻油组及催产素组,临产发动时间、总产程明显短于催产素及蓖麻油餐引产组,三组新生儿窒息及产后出血无明显差异。结论米索前列醇用于晚期妊娠引产能促宫颈成熟及发动子宫收缩,是一种方便、廉价、较安全的引产方法,但使用时需严密观察。

Clinical comparative study on three induced labores methods for late pregnancy

Objective To prob e into the safety and effect of three induced labores applied in late pregnancy.Method There were300gestational mothers,their pregnancy ages were37-42weeks,having induced labor indications.They were divided into three groups(100,each group);the three group was administrated misoprostol(as A group),castor bean oiled egg(as B group),and oxytocin(as C group)respectively.Results The effective rate of induced labor of A group was significantly higher than that of B and C group;but the parturient onset time,total labor stage of A group was shorter than that of other two group.Among those groups,in neonatorum asphyxia and bleeding after labor there was not significant difference.Conclusion Misoprostol applied in induced labor during late pregnancy may promote cervix uteri maturation,and activate uterine contraction,thus use of misoprostol is simple,reliable and safe method of induced labor;but,it is should noticed strictly observing during induced labor using misoprostol.