2010Journal of Bethune Military Medical CollegeRequires access

Effect of prolonging induced labor time for prolonged pregnancy on maternal-neonatal outcomes

Cui Yan-pin

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Abstract

Objective To investigate the effect of prolonging induced time for prolonged pregnancy on maternal-neonatal outcomes.Methods 326 cases whose pregnant periods ranged from 41 to 41 +6 weeks were divided into two groups.One group(n = 214)was treated as induced group.The other group(n = 112)was natural labor group.The delivery methods,postnatal complications,neonatal asphyxia and average hospitalization time were retrospectively analyzed.Results The uterine-incision delivery rate,average hospitalization days and fetal distress in uterus,Ⅲ meconium-stained amnioticfluid in the induction group were significantly higher than those of the natural labor group.The differences had statistical significance(P 0.05).No statistically significant difference was observed between induction group and naturel labor group in the rate of postpartum hemorrhage,puerperal morbidity and intrapartum trauma(P 0.05).Conclusion Whether or not to perform induced labor for the prolonged pregnant women with no pregnancy complications depends on general evaluation.Waiting for natural labor is possible due to many existing methods of strict monitoring of fetus,and decision of induction should be based on its practical situation.

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Objective To investigate the effect of prolonging induced time for prolonged pregnancy on maternal-neonatal outcomes.Methods 326 cases whose pregnant periods ranged from 41 to 41 +6 weeks were divided into two groups.One group(n = 214)was treated as induced group.The other group(n = 112)was natural labor group.The delivery methods,postnatal complications,neonatal asphyxia and average hospitalization time were retrospectively analyzed.Results The uterine-incision delivery rate,average hospitalization days and fetal distress in uterus,Ⅲ meconium-stained amnioticfluid in the induction group were significantly higher than those of the natural labor group.The differences had statistical significance(P 0.05).No statistically significant difference was observed between induction group and naturel labor group in the rate of postpartum hemorrhage,puerperal morbidity and intrapartum trauma(P 0.05).Conclusion Whether or not to perform induced labor for the prolonged pregnant women with no pregnancy complications depends on general evaluation.Waiting for natural labor is possible due to many existing methods of strict monitoring of fetus,and decision of induction should be based on its practical situation.

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Available abstract

Objective To investigate the effect of prolonging induced time for prolonged pregnancy on maternal-neonatal outcomes.Methods 326 cases whose pregnant periods ranged from 41 to 41 +6 weeks were divided into two groups.One group(n = 214)was treated as induced group.The other group(n = 112)was natural labor group.The delivery methods,postnatal complications,neonatal asphyxia and average hospitalization time were retrospectively analyzed.Results The uterine-incision delivery rate,average hospitalization days and fetal distress in uterus,Ⅲ meconium-stained amnioticfluid in the induction group were significantly higher than those of the natural labor group.The differences had statistical significance(P 0.05).No statistically significant difference was observed between induction group and naturel labor group in the rate of postpartum hemorrhage,puerperal morbidity and intrapartum trauma(P 0.05).Conclusion Whether or not to perform induced labor for the prolonged pregnant women with no pregnancy complications depends on general evaluation.Waiting for natural labor is possible due to many existing methods of strict monitoring of fetus,and decision of induction should be based on its practical situation.

Key concepts: Medicine, Asphyxia, Fetal distress, Induction of labor, Obstetrics, Pregnancy, Fetus, Meconium

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