401: Cervical ripening with a double balloon catheter for first vaginal delivery: 6 versus 12 hours: A randomized control trial

2018 ◽  
Vol 218 (1) ◽  
pp. S245-S246
Author(s):  
Jennifer Mitch ◽  
Patricia Mattingly ◽  
Megan Templin ◽  
Kathy Ramsey ◽  
Susan Bliss
Keyword(s):  
Vaginal Delivery ◽  
Randomized Control Trial ◽  
Balloon Catheter ◽  
Cervical Ripening ◽  
Double Balloon ◽  
Randomized Control

scholarly journals Comparison Between The Efficacy and Safety of The Single- (Love Baby) and Double-Balloon Catheters for Cervical Ripening and Labor Induction

2020 ◽  
Author(s):  
Meng Hou ◽  
Weihong Wang ◽  
Dan Liu ◽  
Xuelan Li
Keyword(s):  
Vaginal Delivery ◽  
Adverse Reactions ◽  
Balloon Catheter ◽  
Cervical Ripening ◽  
Expulsion Rate ◽  
Spontaneous Vaginal Delivery ◽  
Double Balloon ◽  
Balloon Catheters ◽  
Number Of Patients ◽  
Single Balloon

Abstract Background: Induced labor is а progressively common obstetric procedure, Whether the specifically designed double-balloon catheter is better than the single-balloon device in terms of efficacy, efficiency and safety yet remains controversial. Methods: In our study We have performed a Retrospective study in which 220 patients with immature cervix were admitted for induction of labor either through single cervix balloon catheter (love-baby) (SBC) or double cervix balloon catheter (DBC). The comparison showed that the cervical bishop score was slightly higher for the SBC after removal or expulsion of the balloon. Results:This was a proof that SBC demonstrates slightly better efficacy for cervical ripening with a shorter time from balloon placement to spontaneous vaginal delivery than DBC. No significant differences in the comparison between SBC and DBC following other parameters like spontaneous vaginal delivery, the initiate uterine contractions rate, the number of patients that needed oxytocin, the balloon spontaneous expulsion rate and others have been detected. Interestingly, SCB showed a higher incidence in adverse reactions leading to taking out the balloon halfway. The multi-factor analysis showed that the spontaneous labor was a risk factor for the cesarean section in SBC patients.Conclusion: These results prove that the new Chinese single balloon, also called love baby, can effectively induce labor as it may be highly recommendable for cervical ripening than DBC, though it could be with a higher incidence of adverse reactions causing the balloon to be pulled out halfway.

scholarly journals Sublingual Misoprostol versus Foley catheter for cervical ripening in women with preeclampsia or gestational hypertension: A randomized control trial

2019 ◽  
Author(s):  
Sedigheh Ayati ◽  
Elahe Hasanzadeh ◽  
Leila Pourali ◽  
Mohammadtaghi Shakeri ◽  
Atiye Vatanchi
Keyword(s):  
Vaginal Delivery ◽  
Randomized Control Trial ◽  
Gestational Hypertension ◽  
Pregnancy Termination ◽  
Foley Catheter ◽  
Labor Induction ◽  
Cervical Ripening ◽  
Significant Difference ◽  
Sublingual Misoprostol ◽  
Randomized Control

Background: Delivery is the only definite cure for hypertensive disorders. Therefore, cervical ripening and labor induction are important to achieve favorable outcomes. Objective: This Randomized Control Trial (RCT) is aimed to compare the effects of sublingual misoprostol and Foley catheter in cervical ripening and labor induction among patients with preeclampsia or gestational hypertension. Materials and Methods: A total number of 144 women with preeclampsia or gestational hypertention with indication of pregnancy termination, who were referred to academic hospitals of the University of Medical Sciences in Mashhad, Iran, between March 2015 and December 2016, were randomly divided into two groups. In group one (n = 72), 25 μg of misoprostol tablet was administrated sublingually every 4 hr up to six doses. In group two (n = 72), a 16F Foley catheter was placed through the internal cervical os, inflated with 60 cc of sterile saline. Results: There were no significant differences between groups regarding the demographic characteristics, primary bishop score, and pregnancy termination indication. The cervical ripening time (primary outcome) (8.2 vs 14.2 hr, p < 0.00), induction to delivery interval (15.5 vs 19.9 hr, p < 0.00), and vaginal delivery before 24 hr (63.9% vs 40%, p = 0.03) were significantly different between the two groups. There was no significant difference between groups in view of oxytocin requirement (p = 0.12), neonatal Apgar score (p = 0.84), or neonatal intensive care unit admission (p = 78). Conclusion: This trial showed that the application of sublingual misoprostol, compared to the Foley catheter, can reduce cervical ripening period and other parameters related to the duration of vaginal delivery. This misoprostol regimen showed inconsiderable maternal complications.

scholarly journals Use of Intravenous Dexamethasone for Cervical Ripening and Labor Induction in Term Pregnancies with Pre-labour Rupture of Membranes: Randomized control trial

2021 ◽  
Vol 4 (2) ◽  
pp. 01-08
Author(s):  
Sarah safwat
Keyword(s):  
Vaginal Delivery ◽  
Intravenous Administration ◽  
Randomized Control Trial ◽  
Active Phase ◽  
Maternity Hospital ◽  
Labor Induction ◽  
Cervical Ripening ◽  
Control Group ◽  
Dexamethasone Group ◽  
Randomized Control

Abstract Background: During the first 36 to 38 weeks of normal gestation, the myometrium is in a preparatory yet unresponsive state. Concurrently, the cervix begins an early stage of remodeling yet maintains structural integrity. Induction of labour is a complex process involving cervical ripening which undergo extensive remodeling and dynamic changes controlled by hormonal, inflammatory changes, and other biological processes. Aim of the Work: to assess the effect of intravenous administration of dexamethasone on the induction delivery interval in term patients with prelabour rupture of membranes undergoing induction of labor. Patients and Methods: This randomized control trial was conducted at department of Obstetrics and Gynecology at Ain Shams University Maternity Hospital (ASUMH) in the period between August 2020 and January 2021. Participants of this study were 80 full term pregnant women with pre-labor rupture of membranes attended the labor ward in El Demerdash Maternity Hospital and scheduled for induction of labor by 8 mg dexamethasone IV before starting induction by PGE1, after 4 hours oxytocin was added by 1 IU/hr with the dose increasing by 1 IU every 30 minutes till optimal contractions were reached which were three uterine contractions in 10 minutes and each lasting for 40-50 seconds. Results: Fetal distress, arrest of delivery and indications of CS delivery were non-significantly less frequent among Dexamethasone group. Induction-active phase and active phase durations were significantly shorter among dexamethasone group than among control group. Second and third stages durations were non-significantly shorter among dexamethasone group than among control group. Total induction-delivery duration was significantly shorter and rate of vaginal delivery was significantly higher among dexamethasone group than among control group. Postpartum hemorrhage (PPH), postpartum endometritis, chorioamnionitis were not reported among the studied groups. No significant difference between Dexamaethasone and Control groups regarding neonatal condition Conclusion: Intravenous administration of dexamethasone in addition to labor induction protocol shortened the induction - active phase and active phase durations. It shortened the total induction-delivery duration and increased the rate of successful vaginal delivery. It has no effect on second and third stages durations with no increase in incidence of intrapartum, postpartum nor neonatal complications.

scholarly journals Induction of labour in mid-trimester pregnancy using double-balloon catheter placement within 12 h versus within 12–24 h

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jing Peng ◽  
Ruobing Li ◽  
Shuguo Du ◽  
Heng Yin ◽  
Min Li ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Balloon Catheter ◽  
Induction Of Labour ◽  
Cervical Ripening ◽  
Efficacy And Safety ◽  
Research Subjects ◽  
Cervical Dilation ◽  
Double Balloon ◽  
Trimester Pregnancy ◽  
Vaginal Deliveries

Abstract Background This study aims to evaluate the efficacy and safety of the induction of labour in mid-trimester pregnancy using a double-balloon catheter (DBC) within 12 h versus within 12–24 h. Methods In this retrospective study, a total of 58 pregnant women at 14 + 0 weeks to 27 + 6 weeks of gestation were enrolled as research subjects, and they underwent the intended termination of pregnancy at our birth centre from January 1, 2017, to June 31, 2019. Based on the duration of DBC, the patients were divided into two groups, namely, the DBC group within 12 h and the DBC group within 12–24 h. Results All 58 cases were successful vaginal deliveries, and no one chose to undergo caesarean section. The success rate of induction (successful abortion of the foetus and placenta without the implementation of dilation and evacuation) was higher in the DBC group within 12–24 h (96.3%, 29/31) than in the DBC group within 12 h (71.0%, 18/27) (p < 0.05). Additionally, the time from DBC removal to delivery in the DBC group within 12–24 h was significantly shorter than that in the DBC group within 12 h (3.0 h versus 17.8 h) (p < 0.05), and the degree of cervical dilation after DBC removal in the DBC group within 12–24 h was larger than that in the DBC group within 12 h (p < 0.05). Conclusion In the clinic, the placement time of DBC generally lasts for approximately 12 h. However, considering that the cervical condition is immature in the mid-trimester, properly extending the placement time of DBC to 24 h will benefit cervical ripening and reduce the chance of dilation and evacuation.

Misoprostol in Addition to a Double-Balloon Catheter for Induction: A Double-Blind Randomized Controlled Trial

2017 ◽  
Vol 35 (03) ◽  
pp. 225-232 ◽  
Author(s):  
Maritza Gonzalez ◽  
Wei-Hsuan Lo-Ciganic ◽  
Kathryn Reed ◽  
Meghan Hill
Keyword(s):  
Randomized Controlled Trial ◽  
Cesarean Delivery ◽  
Vaginal Delivery ◽  
Controlled Trial ◽  
Balloon Catheter ◽  
Double Blind ◽  
Randomized Controlled ◽  
Double Balloon ◽  
Oral Misoprostol ◽  
Cesarean Delivery Rate

Objective This article aims to evaluate whether the use of a double-balloon catheter with oral misoprostol results in a lower rate of cesarean and shorter times to delivery than the use of the double-balloon catheter with oral placebo. Study Design In a double-blind randomized controlled trial, a double-balloon catheter was used for induction of labor with two doses of either 50 µg of misoprostol or placebo. Outcomes included cesarean rate, time to vaginal delivery, change in Bishop's score, and oxytocin usage. Results A total of 343 women were screened and 199 randomized: 99 to the misoprostol arm and 100 to the placebo arm. Cesarean delivery rate was not different between the groups (misoprostol: 13.1% vs. placebo: 17.0%, p = 0.45). Time to vaginal delivery was significantly shorter (mean: 14.6 ± 6.9 vs. 20.8 ± 13.8 hours, p < 0.0001), change in Bishop's score was significantly greater (median: 5 vs. 4 points, p = 0.005), and use of oxytocin was significantly less frequent (86.9 vs. 98.0% patients, p = 0.01) in the misoprostol group. Conclusion The use of a double-balloon catheter with oral misoprostol for induction did not reduce the cesarean delivery rate, but did result in shorter labors, a greater increase in Bishop's score, and a lower need for oxytocin use.

Intracervical double‐balloon catheter versus dinoprostone for cervical ripening in labor induction in pregnancies with a high risk of uterine hyperstimulation

2021 ◽  
Author(s):  
Javier Vega Cañadas ◽  
María Teulón González ◽  
Natalia Pagola Limón ◽  
María Sanz Alguacil ◽  
María García-Luján Prieto ◽  
...  
Keyword(s):  
High Risk ◽  
Balloon Catheter ◽  
Labor Induction ◽  
Cervical Ripening ◽  
Double Balloon ◽  
Uterine Hyperstimulation
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