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| Clinical effect of three schemes for termination of second trimester of pregnancy in women with scar uterus |
| The First People's Hospital of Wu 'an, Hebei Province, 056300 |
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Abstract To study the clinical effect of combination of three schemes for labor induction of women with scar uterus during the second trimester of pregnancy. Methods: 99 women with scar uterus who wanted labor induction during the second trimester of pregnancy were divided into three groups according to the random number table between May 2016 and May 2020. 33 women in group A were given ethacridine combined with mifepristone, 33 women in group B were given ethacridine combined with cervical dilatation balloon, and 33 women in group C were given ethacridine combined with mifepristone and cervical dilatation. The evaluation index of labor induction effect, labor induction success rate, and complications rate of the women were compared among the three groups. Results: The onset time of uterine contraction, the total labor process, the 2h postpartum blood loss, and the blood loss in labor induction of the women in group C were the lowest, followed by those of the women in group B, and those of the women in group A were the highest. The complete labor induction rate (54.6%) of the women in group C was significant higher than that (24.2%) of the women in group A, and the incomplete labor induction rate (3.0%) of the women in group C was significant lower than that (6.1%) of the women in group A. The residual rate of placenta (6.1%) of the women in group C was significant lower than that (30.3%) of the women in group A (all P<0.05). Conclusion: Ethacridine and mifepristone combined with cervical dilatation for labor induction during the second trimester of pregnancy of the women with scar uterus can improve their labor induction outcomes and success rates with fewer complications.
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