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J Turk Ger Gynecol Assoc. 2018 Sep 17. doi: 10.4274/jtgga.2018.0084. [Epub ahead of print]

Double balloon catheters: a promising tool for induction of labor in multiparous women with unfavourable cervices.

Author information

1
Department of Obstetrics and Gynecology, Ankara University School of Medicine, Ankara, Turkey.
2
Department of Perinatology, Ankara University School of Medicine, Ankara, Turkey.

Abstract

OBJECTIVE:

The aim of the present study is to compare the effectiveness and safety of oxytocin and cervical ripening balloon in women with unfavorable cervices for inducing labor.

MATERIAL AND METHODS:

Total of eighty pregnant women between 37-41 gestational weeks having singleton pregnancies and intact membranes with unfavorable cervix were randomized in two groups, cervical ripening balloon (n=40) and oxytocin infusion (n=40). The primary outcomes were the labor time and the route of delivery. Secondary outcomes were the effect of parity on time of labor, obstetric and perinatal outcomes.

RESULTS:

The median time to delivery was 9,45 hours in cervical ripening balloon and 13,2 hours in oxytocin group in multiparous women. The differences were statistically significant (p<0.001). Median time until delivery was 11.48 hours at cervical ripening balloon group and 13,46 hours at oxytocin group; the differences were statistically significant (p<0.001). Cesarean delivery ratios were similar in both groups (p=0.431).

CONCLUSION:

The results of the present study were promising for balloon usage especially in multiparous women. It is beneficial to support these data with wide ranged population based studies.

KEYWORDS:

Double balloon catheter; labor induction unfavorable cervix.

PMID:
30222124
DOI:
10.4274/jtgga.2018.0084
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