赣南医科大学学报2026，Vol.46Issue(1)：32-35,4.DOI:10.3969/j.issn.2097-7174.2026.01.005
小剂量缩宫素引产失败后高位人工破膜对催产效果评估
Evaluation of the effect of high artificial rupture of membranes following failed low-dose oxytocin induction
摘要
Abstract
Objective:To evaluate the efficacy of high artificial rupture of membranes and its impact on maternal and neonatal outcomes after failure of induction with a water balloon combined with low-dose oxytocin.Methods:From January 2020 to December 2023,a total of 50 pregnant women who had indications for labor induction and experienced failed induction after 2-3 days of using a cervical ripening balloon combined with low-dose oxytocin in our hospital were selected.They were divided into a control group(n=24)and an observation group(n=26).The control group continued oxytocin infusion or underwent cesarean section,while the observation group received high AROM followed by oxytocin infusion after one hour.Cervical Bishop score,total labor duration,cesarean section rate,postpartum hemorrhage,postpartum infection rate,neonatal Apgar score,and intrapartum complications(e.g.,placental abruption,fetal distress)were compared.Results:The cesarean section rate was significantly lower in the observation group(30.77%)than in the control group(100.00%),P<0.05.Compared with the control group,the observation group showed a less postpartum hemorrhage volume(P<0.05),a shorter of the total labor duration(P<0.05),and a higher neonatal Apgar score(P<0.05).There were no significant differences in amniotic fluid characteristics,postpartum infection rate,or intrapartum complications between the two groups(P>0.05).Conclusion:In cases of failed induction with a water balloon and low-dose oxytocin and a cervical Bishop score<6,high artificial rupture of membranes significantly promotes labor progress,increases the rate of vaginal delivery,reduces the cesarean section rate,and demonstrates a favorable safety profile for both mother and neonate,with positive clinical significance.关键词
引产失败/高位人工破膜/催产/剖宫产率Key words
Induction failure/High artificial rupture of membranes/Oxytocin augmentation/Cesarean section rate分类
医药卫生引用本文复制引用
曾夷,曾繁英,李艳梅,万彩霞,杨彩红,饶梅花..小剂量缩宫素引产失败后高位人工破膜对催产效果评估[J].赣南医科大学学报,2026,46(1):32-35,4.基金项目
江西省卫生健康委员会科技项目(202410372) （202410372）
