摘要
随着二胎生育政策的开放,高危妊娠逐渐增多。足月后因出现各种合并症、并发症(如胎盘功能减退、羊水过少、妊娠期糖尿病、妊娠期高血压等)需要计划分娩引产的孕妇数量不断上升。超期妊娠未启动分娩需要引产者也逐渐增多。近年来,足月妊娠计划分娩者在促宫颈成熟引产的方法发展较快,种类众多,各有利弊。常用方法有:1)药物引产方法,包括催产素、米索前列醇、欣普贝生(地诺前列酮);2)侵入性引产方法,包括宫颈球囊(Cook双球囊、单球囊,Foleys尿管简易球囊)和人工破膜;3)传统中医药,包括中药、中医针灸等。文章对近年来它们的改良和发展、利弊和局限性进行分析和综述。
With the opening of the two-child policy,the number of high-risk pregnancies has gradually increased.After full-term pregnancy,the number of pregnant women who need planned delivery and induced labor is increasing because of the occurrence of various complications(such as placental dysfunction,oligohydramnios,gestational diabetes mellitus,gestational hypertension,etc.).More and more people have the need to induce labor if the delivery is not initiated during extended pregnancy.In recent years,a variety of methods of promoting cervical ripening and inducing labor induction in planned delivery with full-term pregnancy have rapidly developed with their own advantages and disadvantages.The commonly used methods include drug-induced labor(oxytocin,misoprostol,dinoprostone),invasive labor induction(cervical balloon(Cook double balloon,single balloon,Foleys simple balloon) and artificial membrane rupture),and traditional Chinese medicine(Chinese medicine,acupuncture,moxibustion,etc.).This paper analyzes and summarizes the improvement,progress,advantages,disadvantages and limitations of induced labor in planned delivery with full-term pregnancy.
作者
苏莉
SU Li(Department of Obstetrics,the First People’s Hospital of Nanning,Nanning 530022,China)
出处
《实用临床医学（江西）》
CAS
2019年第12期95-97,共3页
Practical Clinical Medicine
基金
广西壮族自治区中医药局科研课题(GZZC2019254)。
关键词
足月妊娠
促宫颈成熟
引产方法
full-term pregnancy
promoting cervical maturation
labor induction methods
