Umbilical cord presentation after use of a trans-cervical balloon catheter
Umbilical cord presentation after use of a trans-cervical balloon catheter
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DOI：
10.1111/j.1447-0756.2012.02008.x
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发表时间：
2013-03-01
影响因子：
1.6
通讯作者：
Minakami, Hisanori
中科院分区：
文献类型：
--
作者：
Yamada, Takashi;Kataoka, Soromon;Minakami, Hisanori
目的 检查使用经宫颈球囊导管 (TCBC)（例如 Foley 导管和 mereurynter）引产 (IOL) 后脐带先露的发生率，包括脐带脱垂 (UCP) 和脐带下降 (UCD)。方法对研究期间在5家医院（2家医院为20082009年，3家医院为20062009年）接受IOL和TCBC的800名接受IOL的女性进行回顾性病历审查，重点关注UCP和UCD的发生情况。研究期间，五家医院总共分娩了 8245 例。 UCP和UCD分别定义为在存在或不存在胎膜破裂的情况下，脐带在胎儿先露之前下降。结果 五家医院使用 TCBC 和 70250mL 生理盐水进行 IOL 的频率从 4.9% 到 18.8% 不等（平均值 +/- SD，10.7 +/- 5.0%）。 UCP 和 UCD 分别发生在 2 名和 4 名女性中，各医院的脐带出现频率从 0.0% 到 1.8% 不等（平均值 +/- SD，0.9 +/- 0.9%）；与使用 70150mL 盐水时相比，使用 180250mL 盐水时发生脐带先露的可能性明显更高（8.2% [5/61] vs 0.15% [1/662]，P
Aim To examine the incidence of umbilical cord presentation, including cord prolapse (UCP) and cord descent (UCD), after the use of a trans-cervical balloon catheter (TCBC), such as a Foley catheter and a metreurynter, for the induction of labor (IOL). Methods A retrospective medical chart review was conducted, focusing on the occurrence of UCP and UCD in 800 women who underwent IOL with a TCBC at five hospitals during the study period (20082009 for two hospitals and 20062009 for three hospitals). The five hospitals had a total of 8245 deliveries during the study period. UCP and UCD were defined as the descent of the umbilical cord in advance of the presenting fetal part in the presence and absence of rupture of fetal membranes, respectively. Results The frequency of IOL using a TCBC with 70250mL of saline varied among the five hospitals from 4.9% to 18.8% (mean +/- SD, 10.7 +/- 5.0%). UCP and UCD occurred in two and four women, respectively, with the frequency of cord presentation varying among the hospitals from 0.0% to 1.8% (mean +/- SD, 0.9 +/- 0.9%); the cord presentation was significantly more likely to occur when 180250mL of saline was used, compared with when 70150mL of saline was used (8.2% [5/61] vs 0.15% [1/662], P