| Objective:In recent years,the rate of C-section in China has been high.Practice has proved that effective labor induction measures can avoid some unnecessary cesarean section,promote natural childbirth,conform to the development requirements of today’s society,and reduce the rate of cesarean section in China.This paper discusses the clinical efficacy of CCRB and PGE2 in inducing labor in patients with gestational age greater than 37weeks,so as to better serve the clinic.Methods:The 200 patients treated in our hospital from September 2018 to June 2020 were statistically and retrospectively analyzed.These subjects were:gestational age≥37 weeks,indications of labor induction,and poor cervical conditions.They were divided into CCRB group(105 cases)and PGE2 group(95 cases).Compare two groups in the following aspects:Bishop score after promoting cervical mature and remove CCRB or PGE2 suppository after calculated to promote cervical mature and efficient,from the place CCRB or PGE2 suppository to labor time,the total labor time,newborn themselves after 1min Apgar score,patients with induced labor the probability of failure to give up a natural birth eventually choose cesarean delivery,maternal and infant complications after using CCRB or PGE2 suppository(e.g.,fetal distress,tetanic contraction of the uterus,soft birth canal laceration,amniotic fluid dung to dye and neonatal asphyxia,etc.)of the probability,so as to explore the clinical effect of two methods used in full-term pregnancy induced labor.Results:1.There was no difference in Bishop score between the CCRB group and the PGE2 group after cervical maturation(t=0.546,P=0.586).There was also no statistically significant difference between the cervical maturation induction efficiency between the two groups(χ~2=0.910,P=0.340).2.CCRB group was significantly longer than PGE2 group(t=6.915,P=0.000),and the total labor time was also significantly longer than PGE2group(t=2.393,P=0.019).There was no significant difference in Apgar score between the two groups(t=1.335,P=0.185).3.There was statistically significant difference in C-section rate between the CCRB group and the PGE2 group(χ~2=4.012,P=0.045).4.Compared with PGE2,the probability of fetal distress,uterine rigidity and fecal contamination in the CCRB group was lower(P<0.05),and there was statistically significant difference in the total probability of complications between the two groups(P<0.05),and there was no significant difference in the incidence of laceration of soft birth canal and neonatal asphyxia between the two groups(P>0.05).Conclusion:1.Both CCRB and PGE2 are effective methods for promoting cervical maturation,and both can reduce the C-section rate and promote natural deliveries.2.Compared with PGE2,CCRB did not lead to adverse outcomes for the mother and child,although it was longer in labor time and total labor duration than dinoprosterone suppositure.3.CCRB reduces the C-section rate and the probability of maternal and infant complications compared with PGE2.Therefore,the use of CCRB for labor induction is relatively safe and worthy of promotion and use. |
