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Double balloon catheters: A promising tool for induction of labor in multiparous women with unfavorable cervices

OBJECTIVE: To compare the effectiveness and safety of oxytocin and a cervical ripening balloon in women with unfavorable cervices for inducing labor. MATERIAL AND METHODS: A total of eighty pregnant women between 37-41 gestational weeks having singleton pregnancies and intact membranes with unfavora...

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Detalles Bibliográficos
Autores principales: Tülek, Fırat, Gemici, Ali, Söylemez, Feride
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Galenos Publishing 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6883752/
https://www.ncbi.nlm.nih.gov/pubmed/30222124
http://dx.doi.org/10.4274/jtgga.galenos.2018.2018.0084
Descripción
Sumario:OBJECTIVE: To compare the effectiveness and safety of oxytocin and a cervical ripening balloon in women with unfavorable cervices for inducing labor. MATERIAL AND METHODS: A total of eighty pregnant women between 37-41 gestational weeks having singleton pregnancies and intact membranes with unfavorable cervices were randomized into 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, and obstetric and perinatal outcomes. RESULTS: The median time to delivery was 9.45 hours in cervical ripening balloon group and 13.2 hours in the oxytocin group in multiparous women. The differences were statistically significant (p<0.001). The median time until delivery was 11.48 hours in cervical ripening balloon group and 13.46 hours in the 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 are promising for balloon use, especially in multiparous women. It is beneficial to support these data with wide ranging population-based studies.