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| Effect of induced labor by oxytocin combined with cervical dilatation balloon for treating full-term pregnant women with low cervical score |
| Haining Central Hospital, Haining, Zhejiang Province, 314408 |
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Abstract To investigate the effect of induced labor by oxytocin combined with cervical dilatation balloon for treating full-term pregnant women with low cervical score (Bishop score≤6). Methods: 104 pregnant women with indications of induced labor were selected and were randomly divided into two groups according to the mode of induced labor from January 2020 to December 2021. 52 women in the control group were induced by intravenous oxytocin, while 52 women in the study group were induced by oxytocin combined with balloon dilatation. The Bishop score, the induced labor time, the total labor process duration, the amount of postpartum hemorrhage, the cervical dilatation velocity, the success rate of induced labor, the vaginal delivery rate, and the rate of adverse outcomes of mother and infant were compared between the two groups. Results: The total effective rate of cervical maturation improved (96.2%) of the women in the study group was significantly higher than that (82.7%) of the women in the control group. The induced labor time, the total labor duration, and the postpartum blood loss of the women in the study group were significantly lower than those of the women in the control group. The success rate of labor induction (90.4%) and the vaginal delivery rate (88.5%) of the women in the study group were significantly higher than those (73.1% and 67.3%) of the women in the control group. The incidence of adverse maternal and infant outcomes (11.5%) of the women in the study group was significantly lower than that (26.9%) of the women in the control group (all P＜0.05). Conclusion: The application of oxytocin combined with cervical dilatation balloon for induction of labor of full-term pregnant women with low cervical score can promote their cervical maturity, improve their success rate of induction of labor with good safety, and which also can reduce the risk of adverse maternal and infant outcomes.
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