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Register a new userInduction of Labor With Unmedicinal Methods ( Via Membrane Stripping)
تحريض المخاض بطرق غير دوائية (عن طريق تسليخ الأغشية الامنيوسية)
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أجريت الدراسة في مشفى الأسد الجامعي باللاذقية , في قسم التوليد و أمراض النساء في الفترة الممتدة بين 1/1/2013 و حتى 1/1/2014 و كان عدد مريضات الدراسة 190 حالة بينها 140 حالة تم اجراء تسليخ الأغشية لها و 50 حالة دون تسليخ الأغشية. • و قد أجري تسليخ للأغشية عند مريضات الدراسة , و ذلك بعد تقييم درجة نضج عنق الرحم اعتماداً على مشعر بيشوب و كانت نسبة الاستجابة 79.28% في حالات تسليخ الأغشية و هي النسبة الأعلى , ثم 54% في الحالات دون تسليخ الأغشية. و كان إجراء التسليخ لمرتين متتاليتين كافياً عند أغلب المريضات, و كان عنق الرحم متوسط النضج (أي درجة 4-5 حسب مشعر بيشوب ) هو الأكثر استجابة لإجراء التسليخ. • و كانت نسبة الولادة الطبيعية في دراستنا 87.85% في حالات تسليخ الأغشية و 76% دون تسليخ الأغشية. • و قد كانت الاختلاطات محدودة جداً في مجموعة الدراسة و شملت : 1-الإنتان 0.58%. 2-النزف 0.58%. 3-انبثاق الأغشية 1.16%. أي أن تسليخ الأغشية كان إجراءاً آمناً إلى حد ما.
This study was made at ALASSAD Hospital-TISHREEN University in-LATTAKIA at the Department of Obestetrics and Gynecology in the period between 1/1/2013 and 1/1/2014. The number of patients the study was 190.Including140 cases have been holding membrane stripping and 50 cases without membrane stripping. According to Bishop –Scoring index we have estimated the uterine cervix in patients, then a Membrane- Stripping was made. Rate of response was 79.28% in cases of membrane stripping "then 54%in cases " without membrane striping ". In most cases of response ,we need to do the membrane stripping twice.Top of response was obtained when Bishop –Scoring index was between 4- 6 (Moderate ripening of the cervix). Rate of Vaginal Delivery was 87.85% in cases of membrane stripping and 76% without membrane stripping. The complications were limited in the study group included: 1-Infection( 0.58%). 2-Bleeding 0.58%. 3-PROM 1.16%. It means that Membrane Stripping was somehow safe.
Artificial intelligence review:
Research summary
تتناول الدراسة التي أجريت في مشفى الأسد الجامعي باللاذقية بين 1/1/2013 و1/1/2014، تأثير تسليخ الأغشية الأمينوسية كطريقة غير دوائية لتحريض المخاض. شملت الدراسة 190 مريضة، منها 140 حالة تم فيها إجراء تسليخ الأغشية و50 حالة دون تسليخ. تم تقييم نضج عنق الرحم باستخدام مشعر بيشوب. أظهرت النتائج أن نسبة الاستجابة لتسليخ الأغشية بلغت 79.28% مقارنة بـ 54% في الحالات دون تسليخ. كانت نسبة الولادة الطبيعية 87.85% في حالات تسليخ الأغشية و76% دون تسليخ. كانت الاختلاطات محدودة وشملت الإنتان والنزف بنسبة 0.58% لكل منهما، وانبثاق الأغشية بنسبة 1.16%. تشير النتائج إلى أن تسليخ الأغشية كان إجراءً آمناً إلى حد ما وفعالاً في تحريض المخاض، خاصة في حالات عنق الرحم متوسط النضج.
Critical review
دراسة نقدية: تعتبر الدراسة مفيدة في تسليط الضوء على فعالية تسليخ الأغشية الأمينوسية كطريقة غير دوائية لتحريض المخاض. ومع ذلك، يمكن ملاحظة بعض النقاط التي قد تحتاج إلى تحسين. أولاً، كان من الأفضل تضمين مجموعة أكبر من المرضى لزيادة قوة النتائج. ثانياً، لم يتم التطرق بشكل كافٍ إلى الآثار الجانبية المحتملة على المدى الطويل لكل من الأم والجنين. ثالثاً، كان من الممكن تحسين الدراسة بمقارنة تسليخ الأغشية مع طرق أخرى لتحريض المخاض بشكل مباشر. وأخيراً، لم يتم التطرق إلى تأثير العوامل الاجتماعية والاقتصادية على نتائج الدراسة، مما قد يؤثر على تعميم النتائج.
Questions related to the research
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ما هي نسبة الاستجابة لتسليخ الأغشية في الدراسة؟
نسبة الاستجابة لتسليخ الأغشية في الدراسة بلغت 79.28%.
-
ما هي نسبة الولادة الطبيعية في حالات تسليخ الأغشية؟
نسبة الولادة الطبيعية في حالات تسليخ الأغشية بلغت 87.85%.
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ما هي الاختلاطات التي تم رصدها في مجموعة الدراسة؟
الاختلاطات شملت الإنتان والنزف بنسبة 0.58% لكل منهما، وانبثاق الأغشية بنسبة 1.16%.
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ما هي الفئة الأكثر استجابة لتسليخ الأغشية حسب مشعر بيشوب؟
الفئة الأكثر استجابة لتسليخ الأغشية كانت حالات عنق الرحم متوسط النضج (درجة 4-5 حسب مشعر بيشوب).
References used
ELTORKEY,N;GRANT,GM.sweeping of membranes is an effective method of induction of labor in prolonged pregnancies . J-clinical obestetrics and gynecol . Canada . 2011 .P: 712-715
SWAN, RO. Induction of labor by membrane – stripping .clinical obestetrics and gynecol. USA . 2005 . P: 391-395
WEISSBERG , SM ; SPELLACY, W . Membrane – stripping to induce labor . JRepord Med . Netherland. 2009 .P: 81-89
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