scholarly journals A comparison of inpatient with outpatient balloon catheter cervical ripening: a pilot randomized controlled trial

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Chris Wilkinson ◽  
Pamela Adelson ◽  
Deborah Turnbull
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Balloon Catheter ◽  
Cervical Ripening ◽  
Randomized Controlled ◽  
Pilot Randomized Controlled Trial

scholarly journals Double balloon catheter (+oxytocin) versus dinoprostone vaginal insert for term rupture of membranes: a randomized controlled trial (RUBAPRO)

2020 ◽  
Author(s):  
Eric Devillard ◽  
Fanny Petillon ◽  
Marion Rouzaire ◽  
Bruno Pereira ◽  
Marie Accoceberry ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Balloon Catheter ◽  
Group Versus ◽  
Cervical Ripening ◽  
Labour Induction ◽  
Delivery Mode ◽  
Randomized Controlled ◽  
Double Balloon ◽  
Nulliparous Women

Objective: To demonstrate that a double balloon catheter combined with oxytocin decreases time between induction of labour and delivery (TID) as compared to a vaginal dinoprostone insert in cases of PROM at term. Design: Prospective, randomized, controlled trial. Setting: French university hospital Population: Patients undergoing labour induction for PROM at term with unfavorable cervix. Methods: We compared the double balloon catheter over a period of 12 hours with adjunction of oxytocin 6 hours after catheter insertion, versus dinoprostone vaginal insert. After device ablation, cervical ripening continued only with oxytocin. Main outcome measures: The primary outcome was TID. Secondary outcomes concerned delivery mode, maternal and fetal outcome and were adjusted for parity. Results: 40 patients per group were randomized. Each group had similar baseline characteristics. The study failed to demonstrate reduced TID (16.2 vs 20.2 hours, ES = 0.16 (-0.27 to 0.60), p=0.12) in catheter group versus dinoprostone except in nulliparous women (17.0 vs 26.5 hours, ES = 0.62 (0.10 to 1.14), p=0.006). The rate of vaginal delivery <24h significantly increased with combined induction (88.5% vs 66.6%, p=0.03). No statistical difference was observed concerning caesarean rate (12.5% vs 17.5%, p>0.05), chorioamnionitis (0% vs 2.5%, p=1), postpartum endometritis, maternal or neonatal outcomes. Procedure-related pain and tolerance to devices were found to be similar for the two methods. Conclusion: The double balloon catheter combined with oxytocin is an alternative for cervical ripening in case of PROM at term, and may reduce TID in nulliparous women.

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