Double balloon catheters: A promising tool for induction of labor in multiparous women with unfavorable cervices.
- Resource Type
- Article
- Authors
- Tülek, Fırat; Gemici, Ali; Söylemez, Feride
- Source
- Journal of the Turkish-German Gynecological Association. Dec2019, Vol. 20 Issue 4, p231-235. 5p. 4 Charts.
- Subject
- *CATHETERIZATION
*CERVIX uteri
*CESAREAN section
*DELIVERY (Obstetrics)
*LABOR (Obstetrics)
*INDUCED labor (Obstetrics)
*EVALUATION of medical care
*OXYTOCIN
*PREGNANCY
*STATISTICAL sampling
*TIME
*RANDOMIZED controlled trials
*TREATMENT effectiveness
*PARITY (Obstetrics)
*EVALUATION
- Language
- ISSN
- 1309-0399
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. [ABSTRACT FROM AUTHOR]