Which is the safer method of labor induction for oligohydramnios women? Transcervical double balloon catheter or dinoprostone vaginal insert

Abstract Objective: To compare the effectiveness and safety of two cervical ripening methods in term primiparous women with unfavorable cervices and oligohydramnios. Methods: Women (126 cases) with oligohydramnios [amniotic fluid index (AFI) 5 cm] and a low Bishop Score ( 6) were assigned randomly t...

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Bibliographic Details
Published in:The journal of maternal-fetal & neonatal medicine 2014-11, Vol.27 (17), p.1805-1808
Main Authors: Wang, WenYan, Zheng, Jianlan, Fu, JingLi, Zhang, XiaoQiong, Ma, QinLing, Yu, ShuiLan, Li, MeiYing, Hou, Li
Format: Article
Language:English
Subjects:
Administration, Intravaginal
Adult
Catheterization - adverse effects
Catheterization - instrumentation
Catheterization - methods
Cervical ripening
Cervical Ripening - drug effects
Cesarean Section - statistics & numerical data
Dilatation - instrumentation
Dilatation - methods
Dinoprostone - administration & dosage
Dinoprostone - adverse effects
dinoprostone vaginal insert
double balloon catheter
Drug Implants
Female
Humans
induction of labor
Infant, Newborn
Labor, Induced - adverse effects
Labor, Induced - statistics & numerical data
oligohydramnios
Oligohydramnios - epidemiology
Oligohydramnios - therapy
Oxytocics - administration & dosage
Oxytocics - adverse effects
Parity
Pregnancy
Term Birth
Young Adult
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Summary:Abstract Objective: To compare the effectiveness and safety of two cervical ripening methods in term primiparous women with unfavorable cervices and oligohydramnios. Methods: Women (126 cases) with oligohydramnios [amniotic fluid index (AFI) 5 cm] and a low Bishop Score ( 6) were assigned randomly to use double balloon catheter (mechanical method group, 67 cases) or dinoprostone 10 mg controlled-release vaginal insert (pharmacological method group, 59 cases) for induction of labor. The study's primary outcome was caesarean section rate (CSR). The secondary outcome measures included maternal and neonatal morbidity, an incremental changes in Bishop Score, and intrapartum interventions. Results: There was no significant difference between the mechanical method group and the pharmacological method group in CSR and change in Bishop Score. Tacysystole, non-reassuring fetal heart patterns, and cases of newborn umbilical-cord arterial blood pH
ISSN:1476-7058
1476-4954
DOI:10.3109/14767058.2014.880880