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李 雪, 郭 跃, 许 燕, 朱 斌, 邬 雪, 陈 翊, 王 晓, 陈 敦, 陈 慧, 张 建, 王 志, 安 胜. [Clinical efficacy and safety of controlled-release dinoprostone insert: a multicenter retrospective study]. NAN FANG YI KE DA XUE XUE BAO = JOURNAL OF SOUTHERN MEDICAL UNIVERSITY 2017; 37:18-23. [PMID: 28109093 PMCID: PMC6765749] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 09/15/2016] [Indexed: 07/30/2024]
Abstract
OBJECTIVE To analyze the effectiveness and safety of controlled-release dinoprostone insert for term labor induction in the Pearl River Delta of Guangdong province. METHODS Twenty hospitals using controlled-release dinoprostone insert for term labor induction in the Pearl River Delta of Guangdong province were stratified into provincial hospitals and municipal hospitals, and three hospitals of each level were selected as research units. According to the inclusion and exclusion criteria, 1390 pregnant women receiving term labor induction using controlled-release dinoprostone insert were retrospectively analyzed to evaluate the the effectiveness and safety with another 957 pregnant women with induced abortion using oxytocin as the control group. RESULTS Compared with the control group, the controlled-release dinoprostone insert group showed a significantly longer length of the latent phase of labor (4.06∓2.65 vs 3.20∓2.08 h, P=0.003, 95%CI [0.182, 0.920]) and shorter lengths of the active phase (1.73∓1.32 vs 2.22∓1.75 h, P=0.000, 95%CI [-0.795, -0.363]) and the second stage of labor (0.49∓0.37 vs 0.54∓0.43 h, P=0.003, 95%CI [-0.137, -0.028]). No significant differences were found in the length of the first stage of labor, the vaginal delivery rate, adverse reactions, or fetal outcomes between the two groups. CONCLUSION Controlled-release dinoprostone insert is effective and safe for labor induction at term.
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Affiliation(s)
- 雪媛 李
- 南方医科大学南方医院妇产科, 广东 广州 510515Department of Gynecology and Obstetrics, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China
| | - 跃文 郭
- 顺德第一人民医院妇产科, 广东 佛山 528300Department of Gynecology and Obstetrics, Shunde First People's Hospital, Foshan 528300, China
| | - 燕文 许
- 番禺何贤纪念医院妇产科, 广东 广州 511400Department of Gynecology and Obstetrics, Hexian Memorial Hospital, Guangzhou 511400, China
| | - 斌 朱
- 番禺何贤纪念医院妇产科, 广东 广州 511400Department of Gynecology and Obstetrics, Hexian Memorial Hospital, Guangzhou 511400, China
| | - 雪雪 邬
- 番禺中心医院妇产科, 广东 广州 511400Department of Gynecology and Obstetrics, Panyu Central Hospital, Guangzhou 511400, China
| | - 翊 陈
- 番禺中心医院妇产科, 广东 广州 511400Department of Gynecology and Obstetrics, Panyu Central Hospital, Guangzhou 511400, China
| | - 晓怡 王
- 广州医科大学附属第三医院 妇产科, 广东 广州 510000Department of Gynecology and Obstetrics, Third Affiliated Hospital of Guangzhou Medical University, Guangzhou 510000, China
| | - 敦金 陈
- 广州医科大学附属第三医院 妇产科, 广东 广州 510000Department of Gynecology and Obstetrics, Third Affiliated Hospital of Guangzhou Medical University, Guangzhou 510000, China
| | - 慧 陈
- 中山大学孙逸仙纪念医院妇产科, 广东 广州 510000Department of Gynecology and Obstetrics, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510000, China
| | - 建平 张
- 中山大学孙逸仙纪念医院妇产科, 广东 广州 510000Department of Gynecology and Obstetrics, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510000, China
| | - 志坚 王
- 南方医科大学南方医院妇产科, 广东 广州 510515Department of Gynecology and Obstetrics, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China
| | - 胜利 安
- 顺德第一人民医院妇产科, 广东 佛山 528300Department of Gynecology and Obstetrics, Shunde First People's Hospital, Foshan 528300, China
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