小剂量缩宫素引产失败后高位人工破膜对催产效果评估

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中图分类号：R714 文献标志码：A 文章编号：2097-7174（2026）01-0032-04

DOI：10.3969/j. issn. 2097-7174. 2026.01.005

Evaluation of the effect of high artificial rupture ofmembranes following failed low-dose oxytocin induction

ZENG Yi，ZENG Fanying，LI Yanmei，WAN Caixia，YANG Caihong，RAO Meihua （The Third Afiliated Hospital of Gannan Medical University，Ganzhou，Jiangxi 341000）

Abstract：Objective：Toevaluate theeficacyof highartificial ruptureof membranesandits impactonmaternal and neonatal outcomesafter failureof induction with a water baloon combined with low-dose oxytocin.Methods ：From January 2020to December 2O23，atotalof 5Opregnant women who had indications forlabor inductionand experienced failedinductionafter2-3daysofusingacervicalripeningbalooncombined withlow-doseoxytocininourhospital were selected.They were divided intoa control group （ n=24 ）and an observation group（ n =26）.The control group continued oxytocininfusionorunderwentcesareansection，whiletheobservationgroupreceived highAROM folowed byoxytocin infusion after one hour.Cervical Bishop score，total labor duration，cesareansection rate，postpartum hemorhage， 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 shorterof the totallabor duration （ P<0. 05 ），and a higher neonatal Apgar score （ P<0. 05， .There wereno significant diferences inamnioticfluid characteristics，postpartum infectionrate，orintrapartum complications between the two groups （P>0.05 ）.Conclusion：Incases offailed induction with awaterballoon and low-dose oxytocin and a cervical Bishop score <6 ，high artificial rupture of membranes significantly promotes labor progress，increases therateofvaginaldelivery，reducesthecesareansectionrate，anddemonstratesafavorablesafetyprofileforbothmother and neonate，with positive clinical significance.

KeyWords：Inductionfailure；Highartificialruptureof membranes；Oxytocinaugmentation；Cesareansectionrate

我国近30年剖宫产率居高不下，曾被WHO定义为“世界剖宫产率较高的国家之一"，降低剖宫产率已成为全球产科医师的共同使命。（剩余4907字）