The use of balloons for uterine cervical ripening is associated with an increased risk of umbilical cord prolapse: population based questionnaire survey in Japan.
The use of balloons for uterine cervical ripening is associated with an increased risk of umbilical cord prolapse: population based questionnaire survey in Japan.
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子宫宫颈成熟的使用与脐带脱垂的风险增加有关：日本基于人口的问卷调查。
DOI：
10.1186/s12884-015-0432-4
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发表时间：
2015-01-22
影响因子：
3.1
通讯作者：
Group: Japan Association of Obstetricians and Gynecologists
中科院分区：
文献类型：
--
作者：
Hasegawa J;Sekizawa A;Ikeda T;Koresawa M;Ishiwata I;Kawabata M;Kinoshita K;Group: Japan Association of Obstetricians and Gynecologists
明确使用球囊促宫颈成熟是否与脐带脱垂的发生率相关。在日本进行了邮寄问卷调查。分析了2007年至2011年期间在日本与使用球囊促宫颈成熟相关的分娩过程中发生的脐带脱垂病例。从942个机构获得了答案。受试者包括369例早产或脐带脱垂患者，共2，037，460例分娩。单胎头位病例中，88例在分娩过程中观察到脐带前置或脱垂（0.005%）的1，891，189例分娩与使用球囊促宫颈成熟无关，（0.064%）的146，271例分娩与使用球囊促宫颈成熟相关（比值比13.67，95%置信区间10.21，18.30）。所有类型的球囊与脐带前卧或脱垂的发生显著相关。共有39%的脐带脱垂病例发生在手动或自发球囊取出过程中，而53%的病例发生在一段时间后，与球囊取出无关。在使用球囊促宫颈成熟期间，脐带脱垂的风险显著增加，特别是在涉及使用充满大量水的盘型和球型球囊的情况下。
To clarify whether the use of balloons for cervical ripening is associated with the incidence of umbilical cord prolapse. A postal questionnaire survey was distributed in Japan. Cases of umbilical cord prolapse occurring during labor in association with the use of balloons for cervical ripening between 2007 and 2011 in Japan were analyzed. Answers from 942 institutions were obtained. The subjects included 369 patients with fore-lying or prolapse of the umbilical cord among a total of 2,037,460 deliveries. Among the singleton vertex cases, fore-lying or prolapse of the umbilical cord during labor were observed in 88 (0.005%) of 1,891,189 deliveries not associated with the use of balloons for cervical ripening and in 93 (0.064%) of 146,271 deliveries associated with the use of balloons for cervical ripening (Odds ratio 13.67, 95% confidence interval 10.21, 18.30). All types of balloons were significantly associated with the occurrence of fore-lying or prolapse of the umbilical cord. A total of 39% of cases of umbilical cord prolapse occurred during manual or spontaneous balloon removal, while 53% of cases occurred after a while not directly associated with balloon removal. The risk of umbilical cord prolapse was significantly increased during the use of balloons for cervical ripening, especially in cases involving the use of disk-type and ball-type balloons filled with large amounts of water.
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DOI：
10.1111/j.1447-0756.2012.02008.x
发表时间：
2013-03-01
影响因子：
1.6
作者：
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DOI：
10.1016/s0020-7292(03)00333-3
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2004-02-01
影响因子：
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