足月妊娠促宫颈成熟及引产方法研究进展

Research Progress of Cervical Ripening and Induction of Labor in Term Pregnancy

引产是产科常见的干预手段,引产成功与否取决于引产时的宫颈状况。与使用缩宫素诱导宫颈不良的妇女相比,使用宫颈成熟方法可以降低剖宫产的风险。目前,前列腺素、宫颈扩张球囊和Foley导管都被用于有效地促宫颈成熟及引产。本文的目的是回顾不同的宫颈成熟方法及引产方法在足月妊娠引产时的证据和疗效,并对其新的发展进行综述。

Induction of labor is a common intervention in obstetrics, and the success of labor induction depends on the cervical status at the time of induction. The use of cervical ripening methods has been shown to decrease the risk of cesarean delivery when compared to initiating an induction with oxytocin in women with an unfavorable cervix. At present, prostaglandins, cervical dilatation balloons and Foley catheters are all used to effectively promote cervical ripening and induction. The purpose of this article is to review the evidence and efficacy of different cervical ripening methods and induction methods in the induction of term pregnancy, and to review their new development.