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| The influence of single balloon dilation induced labor on delivery mode and perinatal complications of full term pregnant women |
| Changxing County Hospital of Traditional Chinese Medicine, Zhejiang Province, 313100 |
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Abstract Objective: To observe the influence of single balloon dilation induced labor on the delivery mode and perinatal complications of full term pregnant women. Methods: 249 full term pregnant women were selected as the research objects from March 2017 to June 2018, and all the women were divided into the study group (induced labor by single balloon dilation), the control group 1 (induced labor by double balloon dilation), and the control group 2 (induced labor by dinoprostone suppository) according to the random number table method. The delivery mode, labor, and cervical Bishop scores of before and after induction of women were recorded. The degree of cervical ripening, the weight of the newborn, the 1 min Apgar score, the medical expenses, and rate of perinatal complications of women were evaluated. Results: The Bishop scores of women in the study group (7.4±1.5 points) or the control group 1 (7.4±1.5points) was significant higher than that (6.2±1.3points) of women in the control group 2 (t=3.126, 3.089, P=0.000, 0.000). The total effective rate of promoting cervical maturation of women in the study group (92.8%) or the control group 1 (91.6%) was significant higher than that (78.3%) of women in the control group 2 (χ2=7.014, 5.698, P=0.008, 0.017). The vaginal delivery rate of women in the study group (83.1%) or in the control group 1 (84.3%) was significant higher than that (69.9%) of in the control group 2 (χ2=4.055, 4.914, P=0.044, 0.027). The time of the second stage of labor of women in the study group or in the control group 1 was significant longer than that of women in the control group 2 (t=3.976, 4.345, P=0.000, 0.000). The medical expenses of women in the study group was significant lower than that of women in the control group 1 or in the control group 2 (t=3.582, 6.714, P=0.000, 0.000). Conclusion: Single balloon dilatation can effectively improve the cervical maturity of full term pregnant women, increase the success rate of vaginal delivery, and reduce the cesarean section rate, and increase the incidence of perinatal complications. Single balloon dilatation has the same comprehensive efficacy and safety as double balloon dilatation when induced labor, but which has lower medical cost, so it is worthy of clinical application.
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