30 mL Single- versus 80 mL double-balloon catheter for pre-induction cervical ripening: a randomized controlled trial

2015 ◽  
Vol 29 (12) ◽  
pp. 1919-1925 ◽  
Author(s):  
Kara K. Hoppe ◽  
Melissa A. Schiff ◽  
Suzanne E. Peterson ◽  
Michael G. Gravett
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Balloon Catheter ◽  
Cervical Ripening ◽  
Randomized Controlled ◽  
Double Balloon ◽  
Single Versus

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.

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.

825: Misoprostol with foley bulb vs. misoprostol alone for cervical ripening: a randomized controlled trial

2017 ◽  
Vol 216 (1) ◽  
pp. S473 ◽  
Author(s):  
Zainab Al-Ibraheemi ◽  
Lois Brustman ◽  
Brianne Bimson ◽  
Natalie Porat ◽  
Barak Rosenn
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Cervical Ripening ◽  
Randomized Controlled

Cervical ripening balloon with and without oxytocin in multiparas: a randomized controlled trial

2018 ◽  
Vol 219 (3) ◽  
pp. 294.e1-294.e6 ◽  
Author(s):  
Alison M. Bauer ◽  
Justin R. Lappen ◽  
Kimberly S. Gecsi ◽  
David N. Hackney
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Cervical Ripening ◽  
Randomized Controlled
Sign in / Sign up

Export Citation Format

Share Document