Комбинированный метод подготовки шейки матки к родам у беременных с отсутствием биологической готовности организма к родам при тенденции к перенашиванию

Translated title of the contribution: Combined method of preparing the cervix uteri for labor in pregnant women with a lack of birth preparedness and a tendency to post-term pregnancy

Айнура Мамыровна Буркитова, Вячеслав Михайлович Болотских

Research output: Contribution to journalArticlepeer-review

Abstract

Aim: The aim of this study was to develop an effective method for preparing the cervix for labor in pregnant women with lack of birth preparedness and a tendency to post-term pregnancy, as well as for reducing the time required for the preparation in order to conduct subsequent labor stimulation. Materials and Methods: The patients were divided into three groups depending on the method of preparing the cervix for childbirth: in Group 1 (n = 50), laminaria was used only; in Group 2 (n = 50), a Foley catheter was used in combination with mifepristone; in Group 3 (n = 50), mifepristone was only used. The inclusion criteria were gestational period 41 weeks - 41 weeks and 4 days inclusive, immature cervix (a Bishop score from 0 to 2), singleton pregnancy, cephalic presentation, whole fetal bladder, vaginal cleanliness (I-II grade), satisfactory fetal condition (normal cardiotocographic curve and normal Doppler fetal hemodynamic parameters). Statistical processing of the obtained data was carried out using the STATISTICA 10.0 program. Results: Patients of the three groups were comparable in age and gestational age, and did not differ in parity and body mass index. With the combined preparation of the cervix for labor with mifepristone and a Foley catheter, the Bishop score was higher and the cervical assessment was done faster than when preparing with only laminaria or antigestagens. Combining mifepristone with a Foley catheter allowed for reducing the time interval starting from pre-induction to the development of labor in comparison with pre-induction with mifepristone alone or with the help of luminaria. This combination also reduced the frequency of caesarean section due to the lack of effect from induction of labor compared to pre-induction with mifepristone alone or with the help of luminaria. The undoubted advantages of this combined method of preparing the cervix uteri for labor are its effectiveness, a low risk of uterine hyperstimulation, fetal distress syndrome, as well as the absence of a high risk of developing infectious complications. Conclusions: The combined method of preparing the body tending to post-term pregnancy for labor is effective and safe, while it allows for reducing the preparation time in case of a lack of birth preparedness.

Translated title of the contributionCombined method of preparing the cervix uteri for labor in pregnant women with a lack of birth preparedness and a tendency to post-term pregnancy
Original languageRussian
Pages (from-to)5-13
JournalJournal of Obstetrics and Women's Diseases
Volume70
Issue number4
DOIs
StatePublished - 2021

Scopus subject areas

  • Obstetrics and Gynecology

Keywords

  • Amniotomy
  • Combined method
  • Foley catheter
  • Lack of birth preparedness
  • Luminaria
  • Mifepristone
  • Preparation of the cervix for childbirth
  • Tendency to post-term pregnancy

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