Preliminary results of a controlled randomized study on double-balloon catheter vs. dinoprostone vaginal insert for induction of labor with an unfavorable cervix Uygun olmayan servikste doğum indüksiyonunda çift balonlu kateter ve vajinal dinoprostonu karşılaştıran kontrollü randomize çalışmanın ön sonuçları
Turkiye Klinikleri Journal of Medical Sciences, cilt.38, sa.1, ss.40-45, 2018 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 38 Sayı: 1
- Basım Tarihi: 2018
- Doi Numarası: 10.5336/medsci.2017-57638
- Dergi Adı: Turkiye Klinikleri Journal of Medical Sciences
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.40-45
- Anahtar Kelimeler: Balloon dilation, Cervical ripening, Dinoprostone, Induced, Labor
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: To compare a double-balloon transcervical catheter and dinoprostone vaginal insert for induction of labor in women with an unfavorable cervix. Material and Methods: Patients with a Bishop score of 6 requiring labor induction due to maternal or fetal indications at term received either a double-balloon catheter or a dinoprostone vaginal insert from November 2016 through February 2017 at the Perinatology Department. The primary outcome was vaginal delivery rate within 24 hours. Results: A total of 74 women were included; 37 received induction with a double-balloon catheter and 37 with the dinoprostone vaginal insert. The groups were similar with respect to maternal age, gravidity, parity, baseline Bishop score, gestational age at induction and indications for induction. There was no difference in the vaginal delivery rate within 24 h (52.5% vs. 47.5%, P=0.551) or the vaginal delivery rate (47.8% vs. 52.2%, p=0.860) between the groups. Maternal and neonatal outcomes were similar between the groups. Conclusion: Doubleballoon catheter and dinoprostone vaginal insert are associated with similar vaginal delivery and cesarean section rates and neonatal outcomes and safe and effective at induction.