التفاصيل البيبلوغرافية
| العنوان: |
The use of balloons for uterine cervical ripening is associated with an increased risk of umbilical cord prolapse: population based questionnaire survey in Japan. |
| المؤلفون: |
Junichi Hasegawa, Akihiko Sekizawa, Tomoaki Ikeda, Mitsuhiko Koresawa, Isamu Ishiwata, Masakiyo Kawabata, Katsuyuki Kinoshita |
| المصدر: |
BMC Pregnancy & Childbirth; 2015, Vol. 15 Issue 1, p71-82, 12p |
| مصطلحات موضوعية: |
UTERINE diseases, CERVIX uteri diseases, UTERINE prolapse, RISK-return relationships |
| مصطلحات جغرافية: |
JAPAN |
| مستخلص: |
Background To clarify whether the use of balloons for cervical ripening is associated with the incidence of umbilical cord prolapse. Methods A postal questionnaire survey was distributed in Japan. Cases of umbilical cord prolapse occurring during labor in association with the use of balloons for cervical ripening between 2007 and 2011 in Japan were analyzed. Results Answers from 942 institutions were obtained. The subjects included 369 patients with forelying or prolapse of the umbilical cord among a total of 2,037,460 deliveries. Among the singleton vertex cases, fore-lying or prolapse of the umbilical cord during labor were observed in 88 (0.005%) of 1,891,189 deliveries not associated with the use of balloons for cervical ripening and in 93 (0.064%) of 146,271 deliveries associated with the use of balloons for cervical ripening (Odds ratio 13.67, 95% confidence interval 10.21, 18.30). All types of balloons were significantly associated with the occurrence of fore-lying or prolapse of the umbilical cord. A total of 39% of cases of umbilical cord prolapse occurred during manual or spontaneous balloon removal, while 53% of cases occurred after a while not directly associated with balloon removal. Conclusion The risk of umbilical cord prolapse was significantly increased during the use of balloons for cervical ripening, especially in cases involving the use of disk-type and ball-type balloons filled with large amounts of water. [ABSTRACT FROM AUTHOR] |
|
Copyright of BMC Pregnancy & Childbirth is the property of BioMed Central and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
Full Text Finder