잠시만 기다려 주세요. 로딩중입니다.

임신 41주이후의 임산부에서 유도분만의 효율성

The Efficacy fo Induction of Labor Compared with Spontaneous Labor in 41 or More Weeks' Gestation

대한산부인과학회지 1993년 36권 8호 p.3250 ~ 3258
남연순
한동석/김창/민남기/왕영미/조경훈/박종규/강영호

Abstract


We studied 1542 women with uncomplicated pregnancies of 41 or more weeks' gestation. The women were randomly assigned to undergo induction of labor or to have serial antenatal monitoring and spontaneous labor unless there was evidence of fetal or
maternal compromise, in which case labor was induced or cesarean section was performed. In the induction group, labor was induced by the intravaginal application of prostaglandin E2. Serial antenatal monitoring consisted of nonstess test,
assessments of
amniotic fluid volume, and biophysical profile.
Among 702 women in the induction group 111(15.8%) resulted in a higher rate of cesarean section., as compared with 82(9.8%) of 840 women in the monitoring group. This difference resulted from a higher rate of cesarean section performed because
failure
to progress in the induction group(9.4%) versus 2.7%, P<0.005). But the rate of cesarean section because of fetal distress in the induction group was significantly lower than the monitoring group (6.1% versus 9.7%, P<0.05). the rate of perinatal
morality in the induction group was significantly lower than the monitoring group(1.4 per 1000 versus 7.1 per 1000, 0<0.005).
therefore, in postterm pregnancy, the induction of labor resulted in a higher rate of cesarean section for failure to progress, but a lower rate of cesarean section for fetal distress, the lower rates of perinatal mortality and neonatal morbidity
compared with serial antenatal monitoring.

키워드

원문 및 링크아웃 정보
  
등재저널 정보
KCI
KoreaMed
KAMS