Startseite Medizin Labor induction in nulliparous women with an unfavorable cervix: double balloon catheter versus dinoprostone
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Labor induction in nulliparous women with an unfavorable cervix: double balloon catheter versus dinoprostone

  • Katarzyna Suffecool EMAIL logo , Barak M. Rosenn , Stefanie Kam , Juliet Mushi , Janelle Foroutan und Kimberly Herrera
Veröffentlicht/Copyright: 4. Oktober 2013

Abstract

Objective: We sought to compare the efficacy of the double-balloon catheter and dinoprostone for induction of labor among nulliparous women with an unfavorable cervix.

Study design: Nulliparous women with a Bishop score <6 were randomized to receive a 10-mg intra-vaginal dinoprostone insert or a double-balloon catheter. Primary outcome was time to delivery. Statistical analyses were performed by intention to treat using the chi-square, Fisher’s exact, and Student’s t-test, as appropriate.

Results: The mean induction-to-delivery time was shorter in the double-balloon group as compared to the dinoprostone group (17.9±5.8 vs. 26.3±9.7 h) as was the time from induction to vaginal delivery (19.13±5 vs. 24.45±8.7 h, respectively). More women in the catheter group were delivered within 24 h compared to the dinoprostone group (87.1% vs. 47.4%). Approximately 50% of women in both groups delivered by cesarean section.

Conclusion: Induction of labor with the double-balloon catheter in nulliparous women with an unfavorable cervix is associated with a shorter time to delivery compared to dinoprostone.


Corresponding author: Katarzyna Suffecool, MD, Department of Obstetrics and Gynecology, St. Luke’s–Roosevelt Hospital Center, 1000 10th Avenue Suite 10C, New York, NY 10019, USA, Tel.: +1 973 229 1599 (mobile), Fax: +1 212 523 8012, E-mail:

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The authors stated that there are no conflicts of interest regarding the publication of this article.


Article note: Selected paper from the New York Perinatal Society papers presented at the 36th Annual Scientific Meeting, Monday April 15, 2013.


Received: 2013-6-24
Accepted: 2013-8-29
Published Online: 2013-10-4
Published in Print: 2014-3-1

©2014 by Walter de Gruyter Berlin Boston

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