Comparative evaluation of mechanical methods for preparing the cervix for induction of labor in pregnant women with extragenital pathologies


Дәйексөз келтіру

Толық мәтін

Ашық рұқсат Ашық рұқсат
Рұқсат жабық Рұқсат берілді
Рұқсат жабық Рұқсат ақылы немесе тек жазылушылар үшін

Аннотация

Objective. To evaluate the effectiveness of mechanical (osmotic) dilators Dilapan-S and laminaria tents in preparing the cervix for term programmed labor in patients with extragenital pathologies. Materials and methods. Fifty-seven pregnant women at 380-6 to 390-4 weeks of gestation were divided into two groups: group 1 (main) included 32 patients who underwent Dilapan-S induction and group 2 (control) enrolled 25 women using laminaria tents. The condition of the cervix was assessed with the Bishop score before placing and after extracting the dilators. The condition of the fetus during cervical preparation was monitored using cardiotocography. Results. According to the Bishop score, when the action of Dilapan-S finished the degree of cervical ripening increased from Me 3 (Q1 2; Q3 4) to Me 8.5 (Q1 8; Q3 9) points (+5.5; p=0.001) and it was higher than in group 2, Me 8 (Q1 7; Q3 8) points (+5; p=0.01). The women had vaginal delivery in 75% (24/32) of cases in group 1 versus 68% (17/25) in group 2 (р=0.77). Spontaneous onset of labor was observed in 46.9% (15/32) versus 20% (5/25) of cases, (RR = 2.3; 95% CI: 0.99-5.57; p=0.07), respectively. Side effects of both Dilapan-S and laminaria tents were noted rarely and were insignificant. Conclusion. Dilapan-S facilitates cervical ripening more effectively than laminaria tents. There is no statistically significant difference in labor induction rate and its outcomes. Dilapan-S has a good safety profile.

Толық мәтін

Рұқсат жабық

Авторлар туралы

Ekaterina Shaposhnikova

Krasnoyarsk State Medical University named after prof. V.F. Voino-Yasenetsky

Email: catrinaek@yandex.ru
PhD, Associate Professors Department of Obstetrics and Gynaecology of FPK and PPS

Galina Dikke

Academy of Medical Education named after F.I. Inozemtsev

Email: galadikke@yandex.ru
MD, Associate professor, Professor of the Department of Obstetrics and Gynecology with a course of reproductive medicine.

Marina Bazina

Krasnoyarsk State Medical University named after prof. V.F. Voino-Yasenetsky

Email: sonya189@mail.ru
MD, Associate Professors, the head of the Department of Obstetrics and Gynaecology of FPK and PPS

Vitalii Tskhai

Krasnoyarsk State Medical University named after prof. V.F. Voino-Yasenetsky

Email: tchai@yandex.ru
MD, The head of the Department of Perinatology, Obstetrics and Gynaecology

Antonina Egorova

Krasnoyarsk State Medical University named after prof. V.F. Voino-Yasenetsky

Email: sledopyt.tonya@gmail.com
MD, Professors of the Department of Obstetrics and Gynaecology of FPK and PPS

Marina Mentsik

Krasnoyarsk Interdistrict Clinical Hospital No. 20 named after I.S. Berzon, Maternity Hospital

Email: roddomgkb20@mail.ru
the Head of the maternity hospital

Elena Tsaryuk

Krasnoyarsk Interdistrict Maternity Hospital No. 2

Email: KMRD2@yandex.ru
the Head

Natalia Zhirova

Krasnoyarsk State Medical University named after prof. V.F. Voino-Yasenetsky

Email: meduniver10@mail.ru
PhD, Associate Professors Department of Obstetrics and Gynaecology of FPK and PPS

Әдебиет тізімі

  1. Основные показатели здоровья матери и ребенка, деятельность службы охраны детства и родовспоможения в Российской Федерации. М.: Минздрав РФ, Центральный научно-исследовательский институт организации и информатизации здравоохранения Минздрава РФ; 2019. 169 с. [The main indicators of maternal and child health, the activities of the child welfare and obstetric care service in the Russian Federation / Ministry of Health of the Russian Federation, Central Research Institute of Organization and Informatization of Health of the Ministry of Health of the Russian Federation. Moscow, 2019. 169 p. (in Russian)].
  2. Савельева Г.М., Сухих Г.Т., Серов В.Н., Радзинский В.Е., ред. Акушерство. Национальное руководство. 2-е изд. М.: ГЭОТАР-Медиа; 2015. 1080 с. [Savelyeva G.M., Sukhikh G.T., Serov V.N., Radzinsky V.E., Ed. Obstetrics: national leadership / 2nd edition, revised. and add. GEOTAR-Media, 2015. 1080 p. (in Russian)].
  3. Серов В.Н., Шмаков Р.Г., Баев О.Р., Румянцева В.П., Долгушина Н.В., Клименченко Н.И., Ходжаева З.С., Тетруашвили Н.К., Кан Н.Е., Тютюнник В.Л., Краснопольский В.И., Логутова Л.С., Петрухин В.А., Коваленко Т.С., Башмакова Н.В., Мальгина Г.Б., Ерофеев Е.Н., Зазерская И.Е., Осипова Н.А., Михайлова М.В. и др. Медикаментозная подготовка шейки матки к родам и родовозбуждение. Клинические рекомендации. Акушерство и гинекология. 2015; Приложение 5: 1-14. [Serov V.N., Shmakov R.G., Baev O.R., Rumyantseva V.P., Dolgushina N.V., Klimenchenko N.I., Khojaeva Z.S., Tetruashvili N.K., Kan N.E., Tyutyunnik V.L. et al. Drug preparation of the cervix for childbirth and labor excitement. Clinical recommendations. Akusherstvo i ginekologiya / Obstetrics and gynecology. 2015; 5: 1-14. (in Russian)].
  4. Дикке Г.Б. Сравнительная оценка современных методов подготовки шейки матки к хирургическому аборту и индукции родов. Акушерство и гинекология. 2017; 9: 12-9. [Dikke G.B. Comparative evaluation of moden methods of preparing the cervix for surgical abortion and induction of labor. Akusherstvo i ginekologiya / Obstetrics and gynecology. 2017; 9: 12-9. (in Russian)]. https://dx.doi.org/10.18565/aig.2017.9.12-9.
  5. Durie D., Lawal A., Zegelbone P. Other mechanical methods for preinduction cervical ripening. Semin. Perinatol. 2015; 39(6): 444-9. https://dx.doi.org/10.1053/j.semperi.2015.07.006
  6. Gupta J., Chodankar R., Baev O., Bahlmann F., Brega E., Gala A. et al. Synthetic osmotic dilators in the induction of labor - An International Multicentre Observational Study. Eur. J. Obstet. Gynecol. Reprod. Biol. 2018; 229: 70-5. https://dx.doi.org/10.1016/j.ejogrb.2018.08.004
  7. Maier J.T., Schalinski E., Gauger U., Hellmeyer L. Cervical ripening with an osmotic dilator (Dilapan-S) in term pregnancies - An Observational Study. J. Gynecol. Neonatal Biol. 2015; 1(2): 55-60. 10.15436/2380-5595.15.015
  8. Mahendroo M. Cervical remodeling in term and preterm birth: insights from an animal model. Reproduction. 2012; 143(4): 429-38. https://dx.doi.org/10.1530/ REP-11-0466.
  9. Package Labeling: Dilapan-S™ Hygroscopic Cervical Dilator: Indications for Use. JCECCo. (KendallPark, NJ, UnitedStates); 2012.
  10. Baev O.R., Babich D.A., Prikhodko A.M., Tysyachniy O.V., Sukhikh G.T. A comparison between labor induction with only Dilapan-S and a combination of mifepristone and Dilapan-S in nulliparous women: a prospective pilot study. J. Matern. Fetal Neonatal Med. 2019; Oct. 1: 1-6. Online ahead of print. https:// dx.doi.org/10.1080/14767058.2019.1671340.
  11. Пекарев О.Г., Брега Е.С., Луньков С.С., Гус А.И. Клинико-эластографическая оценка вариантов подготовки незрелой шейки матки к родам. Доктор.Ру. 2019; 11: 22-8. [Pekarev O.G., Brega E.S., Lun’kov S.S., Gus A.I. Clinical and Elastographic evaluation of methods for ripening an unripe cervix. Doctor. ru. 2019; 11: 22-8. [in Russian]. https://dx.doi.org/10.31550/1727-2378-2019-166-11-22-28.
  12. Shindo R., Aoki S., Yonemoto N., Yamamoto Y., Kasai J., Kasai M., Miyagi E. Hygroscopic dilators vs balloon catheter ripening of the cervix for induction of labor in nulliparous women at term: Retrospective study. PLoS One. 2017; 12(12): e0189665. https://dx.doi.org/10.1371/journal.pone.0189665.
  13. Saad A.F., Villarreal J., Eid J., Spencer N., Ellis V., Hankins G.D., Saade G.R. A randomized controlled trial of Dilapan-S vs Foley balloon for preinduction cervical ripening (DILAFOL trial). Am. J. Obstet. Gynecol. 2019; 220: 275. e1-9. https://dx.doi.org/10.1016/j.ajog.2019.01.008.
  14. Каткова Н.Ю., Бодрикова О.И., Шевалдина С.А., Покусаева К.Б., Безрукова И.М., Лебедева Н.В., Рыжова Н.К. Подготовка шейки матки к родам: кому, когда, чем. Эффективная фармакотерапия. 2017; 26: 26-31. [Katkova N.Yu., Bodrikova O.I., Shevaldina S.A., Pokusaeva K.B., Bezrukova I.M., Lebedeva N.V., Ryzhova N.K. Preparation of the cervix for childbirth: to whom, when, what. Effektivnaya farmakoterapiya / Effective pharmacotherapy. 2017; 26: 26-31 (in Russian)].
  15. de Vaan M.D., Ten Eikelder M.L., Jozwiak M., Palmer K.R., Davies -Tuck M., Bloemenkamp K.W. et al. Mechanical methods for induction of labor. Cochrane Database Syst. Rev. 2019; (10): CD001233. https://dx.doi. org/10.1002/14651858.CD001233.pub3.

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