Intra-vaginal prostaglandin E2 versus double-balloon catheter for labor induction in term oligohydramnios

Shechter‐Maor, Gil; Haran, Gabi; Sadeh-Mestechkin, Dana; Ganor-Paz, Yael; Fejgin, Moshe D.; Biron‐Shental, Tal

doi:10.1038/jp.2014.173

Cited by 27 publications

(33 citation statements)

References 17 publications

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“…Figure summarised the identification and selection process. Of the 152 studies, nine articles were included in the systematic review and meta‐analysis . Details of the characteristics of the included individual studies are demonstrated in Table S1.…”

Section: Resultsmentioning

confidence: 99%

“…The inclusion criteria varied across the records, some studies included only the primiparous, whereas others recruited those who were primiparous or multiparous. Several studies excluded women with twin pregnancy, pre‐eclampsia, oligohydramnios, or history of caesarean section; others did not exclude them . In addition, there were differences between studies with regard to the minimal gestational ages and maximal Bishop scores used for inclusion criteria.…”

Section: Resultsmentioning

confidence: 99%

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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

Zhu

Cui

et al. 2016

BJOG

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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

Zhu

Cui

et al. 2016

BJOG

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“…In addition, no differences in cesarean delivery rates have been reported in studies comparing prostaglandin E2 and mechanical dilation in women with oligohydramnios. 8, 9 A previous meta-analysis found that misoprostol was associated with an increased risk of tachysystole compared with prostaglandin E2. 5 Because oligohydramnios is associated with increased risk of fetal heart rate decelerations during labor 1, 2, 6 , a hypothetical concern is an increased risk of cesarean delivery in women undergoing induction of labor with misoprostol.…”

Section: Commentmentioning

confidence: 99%

“…3 Misoprostol (prostaglandin E1) is an effective induction agent when the cervix is not favorable. 4 Although maternal and neonatal outcomes related to prostaglandin E2 use in women with oligohydramnios have been studied, 8, 9 limited data are available regarding misoprostol for induction of labor in the setting of oligohydramnios. Misoprostol is associated with tachysystole with or without fetal heart rate changes compared with prostaglandin E2 and oxytocin.…”

Section: Introductionmentioning

confidence: 99%

Induction of Labor in Women with Oligohydramnios: Misoprostol Compared with Prostaglandin E2

et al. 2016

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Objective To compare perinatal outcomes in women with oligohydramnios and an unfavorable cervix undergoing labor induction with misoprostol to prostaglandin E2. Study design We conducted a secondary analysis of women with oligohydramnios undergoing labor induction in the Consortium on Safe Labor study (2002–2008). Oligohydramnios was recorded in the medical chart. We evaluated perinatal outcomes. We limited the analysis to women with an unfavorable cervix defined by simplified Bishop score ≤4. Misoprostol was compared with prostaglandin E2. Women could have received oxytocin, underwent mechanical dilation, or had artificial rupture of membranes, but women who underwent induction with both misoprostol and prostaglandin E2 were excluded. We calculated adjusted odds ratios (aOR) with 95% confidence intervals (CI), controlling for maternal age, maternal body mass index (kg/m2), parity, and mechanical dilation. Results Among women with oligohydramnios and an unfavorable cervix who underwent induction of labor, 141 (39.4%) received misoprostol and 217 (60.6%) received prostaglandin E2. There were no significant differences in cesarean delivery, chorioamnionitis, postpartum hemorrhage, transfusion, neonatal intensive care unit admission (NICU), NICU stay >72 hours, mechanical ventilation, and neonatal sepsis. Conclusion In women with oligohydramnios and an unfavorable cervix, induction of labor with misoprostol was comparable to prostaglandin E2.

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“…Cervix priming with mechanical methods for term pregnancy with unfavorable cervix has been demonstrated to be as effective as priming with prostaglandins but associated with less adverse effects. 2,3 Compared to pharmacological agents, mechanical methods have fewer systemic effects and are associated with lower rates of tachysystole; they have a lower cost and do not require specific conditions of storage and refrigeration. 4 However, the introduction of mechanical methods may contribute to maternal discomfort and have been associated with a potential risk of maternal and neonatal infection.…”

Section: Introductionmentioning

confidence: 99%

Efficacy and Safety of Foley Catheter Balloon for Cervix Priming in Term Pregnancy

et al. 2017

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Introduction: Foley catheter promotes cervix priming by a direct mechanical effect of distension.Material and Methods: A prospective observational study was conducted at a tertiary hospital, including all cases of induction of labor with Foley catheter between September 1, 2013 and November 30, 2015. Women were eligible if they had a singleton pregnancy with a Bishop score < 6 and a gestational age ≥ 41 weeks or a medical indication for induction of labor. The primary outcome was the Bishop score variation (difference between Bishop score before and after insertion of Foley catheter). Mode of delivery, induction-to-delivery time, uterine tachysystole with fetal decelerations, peripartum fever ≥ 38º C, maternal pain and mortality were also analyzed.Results: Within 201 inductions with Foley catheter, average increase in Bishop score after catheter placement was three (1 - 7), with only 5% (11/201) of unmodified cervix after catheter removal/extrusion. Vaginal delivery rate was 71% (142/201) and in women with a previous cesarean section (n = 40) was 37% (15/40). Average induction-to-delivery time was 38 hours (4 - 120). Uterine infection rate was 3% (6/201). There was only one case of significant vaginal bleeding which required immediate catheter removal. There has been no significative maternal or neonatal morbidity.Discussion/Conclusion: Foley catheter is a safe and effective method of cervical priming for women with an unfavorable cervix, even in the case of a previous cesarean delivery.

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Intra-vaginal prostaglandin E2 versus double-balloon catheter for labor induction in term oligohydramnios

Abstract: Intravaginal PGE2 and double-balloon catheter are comparable methods for cervical ripening in term pregnancies with oligohydramnios.

Cited by 27 publications

References 17 publications

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

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

Induction of Labor in Women with Oligohydramnios: Misoprostol Compared with Prostaglandin E2

Efficacy and Safety of Foley Catheter Balloon for Cervix Priming in Term Pregnancy

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