Double‐balloon catheter versus prostaglandin E2 for cervical ripening and labour induction: a systematic review and meta‐analysis of randomised controlled trials

Du, YM; Zhu, LY; Cui, L.N.; Jin, BH; Ou, J.L.

doi:10.1111/1471-0528.14256

Cited by 49 publications

(49 citation statements)

References 21 publications

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“…35 Depending on the study, the likelihood of vaginal delivery within 24 hours varies widely when comparing the balloon to the dinoprostone pessary, with better, worse, or identical effectiveness. 10,12,[36][37][38] We chose to exclude women with previous caesareans from our analysis. Keeping them would have resulted in a major selection bias because some maternity units contraindicate the use of prostaglandins in the event of a scarred uterus and prefer to use the balloon catheter method in these cases.…”

Section: Discussionmentioning

confidence: 99%

“…Professionals use it especially in women with previous caesareans or to improve fetal tolerance, because it mechanically ripens the cervix without causing contractions . Depending on the study, the likelihood of vaginal delivery within 24 hours varies widely when comparing the balloon to the dinoprostone pessary, with better, worse, or identical effectiveness . We chose to exclude women with previous caesareans from our analysis.…”

Section: Commentmentioning

confidence: 99%

“…8 Numerous randomised controlled trials and meta-analyses have compared methods of cervical ripening. [9][10][11][12] Nonetheless, they did not make it possible to conclude that one method is better than the others balancing both the effectiveness (ie maximising likelihood of vaginal delivery in the minimum time interval) and the safety (ie limiting poor maternal and neonatal outcomes). Moreover, although randomised controlled trials are considered the reference for assessing the impact of an intervention, they do have limitations.…”

Section: Backg Rou N Dmentioning

confidence: 99%

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Comparison of effectiveness and safety of cervical ripening methods for induction of labour: A population‐based study using coarsened exact matching

Blanc-Petitjean

Carbonne

Deneux‐Tharaux

et al. 2019

Paediatric Perinatal Epid

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Background There is no consensus about the ideal cervical ripening method to use for induction of labour. Objective To compare in current practice the effectiveness and safety of four cervical ripening methods. Methods We performed a matched comparative study using data from the MEDIP prospective population‐based cohort conducted during one month in 2015 in all maternity units of seven French perinatal networks (3042 consecutive women with a live fetus and induction of labour). We analysed 1671 women with singleton cephalic fetus, unscarred uterus, and bishop score <7. Dinoprostone vaginal pessary (reference) was compared to dinoprostone vaginal gel, misoprostol vaginal tablet, and balloon catheter. Effectiveness outcomes were the need for more than one induction agent, oxytocin use, failure to achieve vaginal delivery within 24 hours (VD < 24 hours), and caesarean delivery. Safety outcomes were meconium‐stained amniotic fluid, uterine hyperstimulation, NICU admission, and post‐partum haemorrhage. Coarsened exact matching was used to balance confounders among the groups. Outcomes were compared using multivariable logistic regression models. Results Compared to the dinoprostone pessary (N = 1142, 68.3%), dinoprostone gel (N = 335, 20.1%) was associated with less failure to achieve VD < 24 hours (adjusted OR 0.66, 95% CI 0.47, 0.91). Misoprostol (N = 103, 6.2%) was associated with less need of more than one induction agent (aOR 0.56, 95% CI 0.34, 0.92) and less oxytocin use (aOR 0.60, 95% CI 0.37, 0.99). The balloon catheter (N = 91, 5.4%) was associated with more failure to achieve VD < 24 hours (aOR 2.62, 95% CI 1.37, 5.01), more caesarean delivery (aOR 1.84, 95% CI 1.09, 3.08), and less meconium‐stained amniotic fluid (aOR 0.12, 95% CI 0.02, 0.70). Uterine hyperstimulation rates seemed lower with the balloon catheter (1.2% vs 4.2% for the pessary). Conclusions In current practice, no cervical ripening method appears clearly superior to the others considering all effectiveness and safety outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Commentmentioning

confidence: 99%

Section: Backg Rou N Dmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of effectiveness and safety of cervical ripening methods for induction of labour: A population‐based study using coarsened exact matching

Blanc-Petitjean

Carbonne

Deneux‐Tharaux

et al. 2019

Paediatric Perinatal Epid

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“…Our study examines data drawn from women who were predominantly induced with a chemical induction via prostaglandins. Several authors have demonstrated that balloon catheter IOL is just as efficacious as prostaglandin IOL . One particular study demonstrated an increased rate of unassisted vaginal delivery, reduced post‐partum blood loss and better fetal outcomes with balloon catheter IOL .…”

Section: Discussionmentioning

confidence: 99%

Influence of maternal obesity on Bishop Score and failed induction of labour: A retrospective cohort study in a regional tertiary centre

Little

Nugent

Vangaveti

2018

Aust NZ J Obst Gynaeco

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“…Balloon catheters are widely used for cervical ripening. They allow gentle ripening of the cervix, causing less uterine overstimulation [1][2]. However, IAI was one of the most severe complications during induction with balloon catheter.…”

Section: Discussionmentioning

confidence: 99%

Risk Factors of Intra-Amniotic Infection Related to Induction with Single-Balloon Catheter: A Case-Control Study

Yong-qing

Chen

et al. 2018

Gynecol Obstet Invest

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Aims: To investigate the risk factors of intra-amniotic infection (IAI) related to induction with single-balloon catheter (SBC). Methods: A retrospective, case-control study including 58 cases of IAI patients who underwent induction with SBC was conducted in Women’s Hospital, School of Medicine, Zhejiang University. For each case, 8 women who delivered during the same month and had no infection after SBC induction were selected for control. Results: Compared with the control group, the IAI group had a higher rate of nulliparity (87.93 vs. 70.69%; p = 0.006), BMI > 30 kg/m² (29.31 vs. 15.95%; p = 0.011), and amniotic fluid index (AFI) < 8 cm (32.8 vs. 15.1%; p = 0.001). The diameter of cervical dilatation when membranes ruptured in IAI group was smaller than that in the control group (2.0 [1.5] vs. 3.0 [8.0] cm; p < 0.001). Time from start of induction to vaginal delivery was longer than that in the control group (47.0 [19.75] vs. 27.0 [16.0] h; p < 0.001). After logistic regression, the 5 factors associated with IAI for those who underwent SBC induction were nulliparity, BMI > 30 kg/m², AFI < 8 cm, diameter of cervical dilatation < 3 cm when membranes ruptured and time from start of induction to vaginal delivery of more than 48 h. Conclusions: Focus on these risk factors could result in earlier prophylaxis so that the incidence of IAI could be reduced.

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Double‐balloon catheter versus prostaglandin E2 for cervical ripening and labour induction: a systematic review and meta‐analysis of randomised controlled trials

Abstract: Double-balloon catheter versus prostaglandin E2 for cervical ripening and labour induction.

Cited by 49 publications

References 21 publications

Comparison of effectiveness and safety of cervical ripening methods for induction of labour: A population‐based study using coarsened exact matching

Comparison of effectiveness and safety of cervical ripening methods for induction of labour: A population‐based study using coarsened exact matching

Influence of maternal obesity on Bishop Score and failed induction of labour: A retrospective cohort study in a regional tertiary centre

Risk Factors of Intra-Amniotic Infection Related to Induction with Single-Balloon Catheter: A Case-Control Study

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