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Time matters: Cervical ripening balloon for 6 versus 12 h-Retrospective comparison between two protocols.
Bleicher, Inna; Korobochka, Michal; Sagi, Shlomi; Sammour, Rami.
Afiliación
  • Bleicher I; Department of Obstetrics and Gynecology, Bnai-Zion Medical Center, Haifa, Israel.
  • Korobochka M; The Ruth and Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
  • Sagi S; Riga Stradins University, Riga, Latvia.
  • Sammour R; Department of Obstetrics and Gynecology, Bnai-Zion Medical Center, Haifa, Israel.
Int J Gynaecol Obstet ; 166(2): 886-890, 2024 Aug.
Article en En | MEDLINE | ID: mdl-38477600
ABSTRACT

OBJECTIVE:

Recently, two randomized controlled trials compared removal of cervical ripening balloon (CRB) after 6 versus 12 h. Their results showed similar Bishop score changes in both groups and a shorter time to delivery in the 6-h group. Neither of the studies was powered to show difference in mode of delivery. The aim of this study was to compare mode of delivery when the CRB was removed after 6 versus 12 h.

METHODS:

A historical control study comparing induction of labor with a CRB between two time periods, one in which the CRB was removed after 12 h (12-h group), and the other in which it was removed after 6 h (6-h group). We included term pregnancies with a singleton fetus in vertex presentation. We excluded patients with a previous cesarean delivery, failed ripening with prostaglandins prior to CRB insertion, and any contraindication for vaginal delivery. The primary outcome was mode of delivery. Secondary outcomes included delivery within 24 h and other maternal and neonatal outcomes.

RESULTS:

We included 1704 patients, 914 in the 12-h group, and 717 in the 6-h group. Removal after 6 h was associated with a lower rate of cesarean and instrumental deliveries (28.6% vs 22.5%, and 12% vs 6.2%, respectively) and a higher rate of vaginal delivery within 24 h. All differences were statistically significant.

CONCLUSION:

Removing a cervical ripening balloon after 6 rather than 12 h is associated with reduced cesarean and instrumental delivery rates, and should be considered as a reasonable, and potentially superior alternative in labor induction protocols with intracervical ripening balloon.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cesárea / Maduración Cervical / Trabajo de Parto Inducido Límite: Adult / Female / Humans / Pregnancy Idioma: En Revista: Int J Gynaecol Obstet Año: 2024 Tipo del documento: Article País de afiliación: Israel Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cesárea / Maduración Cervical / Trabajo de Parto Inducido Límite: Adult / Female / Humans / Pregnancy Idioma: En Revista: Int J Gynaecol Obstet Año: 2024 Tipo del documento: Article País de afiliación: Israel Pais de publicación: Estados Unidos