Labor induction by transcervical balloon catheter and cerebral palsy associated with umbilical cord prolapse

Yamada, Takahiro; Cho, Kazutoshi; Yamada, Takashi; Morikawa, Mamoru; Minakami, Hisanori

doi:10.1111/jog.12036

Cited by 8 publications

(4 citation statements)

References 26 publications

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“…When the fetal head has not entered the pelvis, there is a possibility of umbilical cord prolapse or aberration of an obstetrical single balloon between the fetal head and maternal pelvis [5][6][7]. This phenomenon is possible if the fetal membranes have ruptured, but an aberration is unexpected with intact membranes.…”

Section: Discussionmentioning

confidence: 99%

Single Balloon Aberration into the Uterus despite no Rupture of the Fetal Membranes: A Case Report

Yanaihara¹

2017

OGIJ

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An obstetrical single balloon is used to facilitate ripening of the cervix and is widely used because it is relatively safe.Even when used that tool correctly, sometimes unexpected events might occur leaving us puzzled. We report a case in which a single balloon catheter aberrated fully into the uterus without rupture of the membranes at 41 weeks of gestation. Keeping in mind the possibility of placental abruption, artificial rupture of the membranes was performed, which triggered uterine contractions and, finally, resulted in a natural delivery.While the need for a single balloon to be inserted by a skilled practitioner and confirmation of the position of the balloon are essential, in the present case, we were keenly aware of the need for flexibility in our resourcefulness in an unexpected situation. If a single balloon enters into the uterus completely without rapture of the membranes, an amniotomy is suggested.

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Section: Discussionmentioning

confidence: 99%

Single Balloon Aberration into the Uterus despite no Rupture of the Fetal Membranes: A Case Report

Yanaihara¹

2017

OGIJ

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“…Así, Gabbay-Benziv y col. encontraron que 16% de los prolapsos eran causados por el obstetra: 8% durante la inserción de catéter uterino y 8% en maniobras de versión externa. Holbrook y Phelan (2) atribuyen a causas iatrogénicas el 47% de los prolapsos: rotura de membranas, amnioinfusión, versión cefálica externa, catéter de presión uterina, electrodos fetales o colocación de catéter con balón uterino (5) .…”

Section: Discussionunclassified

Resultados perinatales tras un prolapso de cordón mantenido

Galiano

Toro

2014

Rev peru ginecol obstet.

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El prolapso de cordón es un fenómeno poco frecuente que compromete el bienestar fetal en caso de no intervenir con celeridad y competencia. El entrenamiento profesional y el asesoramiento prenatal afectan los resultados. Se presenta el caso clínico de un prolapso de cordón poco frecuente, ocurrido en el domicilio de la paciente, con salida de 15 cm por la vagina, ausencia de compresión, registro cardiotocográfico normal y recién nacido vivo con buenos parámetros de salud.

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“…10 A systematic review (17 trials with 2566 women) on concurrent amniotomy with intravenous oxytocin shows potential synergistic effects, with fewer women being undelivered vaginally at 24 h when compared with amniotomy alone. 11 Transcervical balloon catheter labor induction is associated with umbilical cord prolapse resulting in cerebral palsy, 12 cord presentation 13 (particularly when the balloon is inflated to a high volume), and altered presentation from vertex to breech, 14,15 although these events are infrequent 14,15 to rare. 12,13 Hence, oxytocin stimulation immediately following cervical ripening by balloon seems reasonable to allow the head to engage into the pelvis and the timing of amniotomy is clinically appropriate.…”

Section: Introductionmentioning

confidence: 99%

Early versus delayed amniotomy with immediate oxytocin after Foley catheter cervical ripening in multiparous women with labor induction: A randomized controlled trial

Jamaluddin

Azhary

Hong

et al. 2022

Intl J Gynecology & Obste

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Objective To evaluate immediate oxytocin and early amniotomy compared with delayed amniotomy after Foley catheter cervical ripening in multiparous women on intervention‐to‐delivery interval. Methods This randomized trial was conducted in Malaysia in 232 term multiparous women with balloon catheter–ripened cervixes (dilatation ≥3 cm), singleton fetus, cephalic presentation with intact membranes, and reassuring fetal heart rate tracing. They were randomized to immediate titrated intravenous oxytocin infusion and early amniotomy (116) or delayed amniotomy after 4 h of oxytocin (116). Primary outcome was intervention (oxytocin initiation)‐to‐delivery interval. Results Oxytocin‐to‐delivery intervals were a median of 4.99 h (interquartile range [IQR], 3.21–7.82 h) versus 6.23 h (IQR, 4.50–8.45 h) (P < 0.001) for the early versus delayed amniotomy arms, respectively. Delivery rate at 4 h and 6 h after oxytocin infusion were 40 of 116 (35%) versus 22 of 116 (19%) (relative risk [RR], 1.82 [95% confidence interval (CI), 1.16–2.86], P = 0.011) and 77 of 116 (66%) versus 54 of 116 (47%) (RR, 1.43 [95% CI, 1.13–1.80], P = 0.003) for the early versus delayed amniotomy arms, respectively. Maternal satisfaction on birth process were 7 (IQR, 6–8) versus 7 (IQR, 7–8) (P = 0.006), uterine hyperstimulation rates were 10 of 116 (9%) versus 14 of 116 (12%) (RR, 0.71 [95% CI, 0.33–1.54]) (P = 0.519), and Cesarean delivery rates were 17 of 116 (15%) versus 19 of 116 (16%) (RR, 0.90 [95% CI, 0.49–1.63], P = 0.856) for the early versus delayed amniotomy arms, respectively. Conclusion In multiparas at term following cervical ripening by Foley catheter, immediate oxytocin and early amniotomy compared with a scheduled 4‐h delay to amniotomy shortens the interval to birth and decreases uterine hyperactivity in labor but lowers maternal satisfaction. The cesarean delivery rate is not significantly reduced. Clinical Trial Registration This study was registered with the International Standard Randomised Controlled Trial Number (ISRCTN) on September 29, 2020, with trial identification number: ISRCTN87066007 (https://doi.org/10.1186/ISRCTN87066007). The first participant was recruited on September 29, 2020, after ISRCTN registry confirmation was received.

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Labor induction by transcervical balloon catheter and cerebral palsy associated with umbilical cord prolapse

Cited by 8 publications

References 26 publications

Single Balloon Aberration into the Uterus despite no Rupture of the Fetal Membranes: A Case Report

Single Balloon Aberration into the Uterus despite no Rupture of the Fetal Membranes: A Case Report

Resultados perinatales tras un prolapso de cordón mantenido

Early versus delayed amniotomy with immediate oxytocin after Foley catheter cervical ripening in multiparous women with labor induction: A randomized controlled trial

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