PDF(Pubmed)
Abstract：
BACKGROUND: Induction of labour (IOL) is an obstetric procedure that should be conducted in a healthcare facility with the capacity to provide optimal care based on the patient risk status. Inadequate monitoring, untimely procedure and lack of readily available and experienced medical staff to participate in the care of the patient undergoing induction are hazardous with snowball effects.
METHODS: A 38-year-old G4P2+1 had IOL because of oligohydramnios at term in a district hospital. The procedure was inadequately monitored and fetal demise occurred. The duration of second stage was prolonged and sequential use of vacuum and forceps deliveries were unsuccessfully performed.
RESULTS: At the ensuing caesarean delivery, uterine rupture/tear was diagnosed, and the patient died due to haemorrhage during an emergency hysterectomy.
CONCLUSIONS: This report highlights important clinical lessons on IOL in a high-risk pregnancy. The timelines for monitoring during IOL, particularly when there is fetal demise in labour, are proposed.
METHODS: A 38-year-old G4P2+1 had IOL because of oligohydramnios at term in a district hospital. The procedure was inadequately monitored and fetal demise occurred. The duration of second stage was prolonged and sequential use of vacuum and forceps deliveries were unsuccessfully performed.
RESULTS: At the ensuing caesarean delivery, uterine rupture/tear was diagnosed, and the patient died due to haemorrhage during an emergency hysterectomy.
CONCLUSIONS: This report highlights important clinical lessons on IOL in a high-risk pregnancy. The timelines for monitoring during IOL, particularly when there is fetal demise in labour, are proposed.
摘要：
■引产（IOL）是一种产科程序，应在医疗机构中进行，并有能力根据患者的风险状况提供最佳护理。监测不足,不及时的程序和缺乏随时可用和有经验的医务人员来参与接受引产的患者的护理是危险的滚雪球效应。
■一名38岁的G4P2+1在地区医院足月因羊水过少而出现IOL。该程序未得到充分监测，发生了胎儿死亡。第二阶段的持续时间延长，连续使用真空和镊子分娩失败。
■在随后的剖腹产中，诊断为子宫破裂/撕裂，患者在紧急子宫切除术中因出血死亡。
■本报告重点介绍了高危妊娠IOL的重要临床经验。IOL期间监测的时间表，特别是当分娩时胎儿死亡，是提议的。
■一名38岁的G4P2+1在地区医院足月因羊水过少而出现IOL。该程序未得到充分监测，发生了胎儿死亡。第二阶段的持续时间延长，连续使用真空和镊子分娩失败。
■在随后的剖腹产中，诊断为子宫破裂/撕裂，患者在紧急子宫切除术中因出血死亡。
■本报告重点介绍了高危妊娠IOL的重要临床经验。IOL期间监测的时间表，特别是当分娩时胎儿死亡，是提议的。
