Analysis Of The Effect Of COOK’s Double Balloon And Dinoprostone On Inducing Labor In Obese Pregnant Women

Objective This paper mainly discussed the effect of COOK double balloon and dinoprostol on cervical maturation induction and maternal and neonatal complications in obese Han women with pre-pregnancy BMI of 28 kg /m2 or greater.Methods A total of 123 full-term pregnant women with prepregnancy BMI greater than or equal to 28 who gave birth in the obstetrics department of Anhui Maternal and Child Health Hospital from January 2021 to June 2022 were randomly selected and divided into group(COOK’s Double Balloon group)63 cases and group B(Dinoprostone group)60 cases according to the devices used to ripe the cervix.The general information of pregnant women in the two groups were recorded,including age,height,weight,gestational age,Bishop score before labor induction,and indications of labor induction: Gestational diabetes,gestational hypertension,expired pregnancy,oligohydramnios,poor placental function,Duration of use of cervical ripening devices,duration of first stage of labor,duration of second stage of labor,duration of third stage of labor,12-hour vaginal delivery rate,24-hour vaginal delivery rate,24-hour delivery rate,delivery mode(including vaginal couvade,forceps assisted delivery,and transfer to cesarean section),indications of cesarean section(including relative pelvic asymmetry,social factors,and fetal distress),and maternal delivery When and postpartum complications(including postpartum hemorrhage,placental membranes residual,uterine contractions fatigue,excessive contractions,fetal distress),neonatal sex,neonatal weight,neonatal outcomes(including no abnormalities,high-risk infants,neonatal asphyxia)were compared.Results(1)There was no statistical significance in the general data between group A(COOK’s Double Balloon group)and group B(Dinoprostone group)(P>0.05),and there was no statistical significance in the indications of labor induction between the two groups(including: gestational hypertension,expired pregnancy,gestational diabetes,oligohydramnios and placental dysfunction)(P>0.05).(2)There were statistically significant differences between group A(COOK’s Double Balloongroup)and group B(Dinoprostone group)in the time of using cervical ripening device,first stage of labor,total stage of labor,12-hour vaginal delivery rate and 24-hour vaginal delivery rate(P<0.05).There was no statistical significance in the second stage of labor,the third stage of labor and the 24-hour delivery rate(P>0.05),and there was no statistical significance in the delivery mode between the two groups(P>0.05).(3)There were no statistically significant differences between group A(COOK’s Double Balloon group)and group B(Dinoprostone group)in puerperal and postpartum complications(including postpartum hemorrhage,placental membranes residue,fetal distress)(P>0.05),but there were statistically significant differences in uterine uterine weakness and uterine overfrequency(P<0.05).(4)There was no statistical significance in the general condition of neonates in the two groups(P>0.05),and there was no statistical significance in the outcome of neonatal pregnancy(including neonatal asphyxia and high-risk infants)(P>0.05).Conclusions(1)Both COOK cervical dilator balloon and Dinoprostone can be used for obese Han women with a BMI of 28 or above before pregnancy,which can effectively promote cervical maturation,improve vaginal delivery rate,and do not increase adverse pregnancy outcomes of mother and child.Both are equally safe and effective.(2)The use time of the cervical ripening device,the first stage of labor and the total stage of labor of COOK dilator balloon were longer than those of Dinoprostone plug,but the 12-hour vaginal delivery rate and 24-hour vaginal delivery rate were superior to dinoprost plug.(3)Dinoprostone suppositories are associated with the risk of uterine contraction weakness and excessive contractions during labor induction,but there is no significant difference in the final adverse pregnancy outcome between mother and child.Doctors should use it individually according to the conditions of different pregnant women in clinical work.