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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 261 - 269 (9page)
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초록· 키워드
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ObjectiveThis study aimed to compare the effects of vaginal misoprostol, laminaria, and extra-amniotic saline infusion (EASI) oncervical ripening. MethodsThis randomized controlled trial was conducted on 195 women with singleton pregnancies and unripe cervices. Participants were randomly allocated to 3, 65-person groups: a misoprostol, a laminaria, and an EASI group. Theinterventions in the misoprostol, laminaria, and EASI groups included a single 25-μg vaginal misoprostol suppository,an intracervical laminaria, and a transcervical Foley catheter, respectively. The groups were compared with eachother regarding time intervals from labor induction to labor active phase and delivery, cervical dilation, Bishop scores6 hours after induction, delivery type, length of hospital stay, and complications. ResultsThere were no significant differences among the groups regarding maternal ages, gestational ages, body mass indices,baseline cervical dilations, and Bishop scores (P>0.05). Six hours after induction, the Bishop score and cervical dilationwere significantly greater in the EASI group than in the other 2 groups (P<0.001). Moreover, time intervals from laborinduction to labor active phase and delivery in the EASI group were significantly short (P<0.001). The rates of cesareansection, fetal distress, placental abruption, and meconium staining in the misoprostol group were significantly high(P<0.05), and the length of hospital stay in the EASI group was significantly short (P<0.001). ConclusionEASI is a safer and more effective method for cervical ripening. Considering its inexpensiveness, easy accessibility, andgreater effectiveness, EASI is recommended for cervical ripening. Trial RegistrationIranian Center for Clinical Trials Identifier: IRCT20170513033941N39
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참고문헌 (17)
참고문헌 신청
김혜인 / 2019 / Benefits and risks of induction of labor at 39 or more weeks in uncomplicated nulliparous women: a retrospective, observational study / Obstetrics & Gynecology Science 62(1):19~26
Association of Women's Health / 2019 / Elective induction of labor / J Obstet Gynecol Neonatal Nurs 48:227~229
Cunningham FG / 2018 / Williams obstetrics / McGraw-Hill Education
Pierce S / 2018 / Clinical insights for cervical ripening and labor induction using prostaglandins / AJP Rep 8:e307~14
Stephenson ML / 2015 / A novel misoprostol delivery system for induction of labor : clinical utility and patient considerations / Drug Des Devel Ther 9:2321~2327
Association of Women's Health / 2019 / Elective induction of labor / J Obstet Gynecol Neonatal Nurs 48:227~229
Cunningham FG / 2018 / Williams obstetrics / McGraw-Hill Education
Pierce S / 2018 / Clinical insights for cervical ripening and labor induction using prostaglandins / AJP Rep 8:e307~14
Stephenson ML / 2015 / A novel misoprostol delivery system for induction of labor : clinical utility and patient considerations / Drug Des Devel Ther 9:2321~2327
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