Multicentre randomised controlled trial comparing the safety in the first 12 h, efficacy and maternal satisfaction of a double balloon catheter and prostaglandin pessary for induction of labour

Ng, Yang Huang Grace; Aminuddin, Anisa Aisyah; Tan, Toh Lick; Kuppusamy, Ramesh; Sunkara, Tagore; Yeo, G. S. H.

doi:10.1007/s00404-021-06090-y

Cited by 14 publications

(5 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the present study, we found that the carrot juice with carotenoids compounds group had lower labor pain after an 8-week intervention compared to the control group. In addition, a previous study found that carotenoids had a strong inhibitory effect on prostaglandin ( 25 ); in fact, prostaglandin has an impact on the pain experienced during labor ( 26 , 27 ). Carotenoids was significantly correlated with pain and antidepressant in Rats with fibromyalgia models ( 28 ).…”

Section: Discussionmentioning

confidence: 98%

Effectiveness of Dark Chocolate and Carrot Juice on Perceived Labor Pain During Stage 1 of Birth Delivery Among Primigravida: A Quasi-Experimental Study

Fadria,

Alchalidi,

Abdurrahman

et al. 2024

Med Arch

View full text Add to dashboard Cite

Background: Dark chocolate and carrot juice may positively decline the pain. However, there is a lack evidence the impact of combination dark chocolate and carrot juice on labor pain during stage 1 of birth delivery among primigravida. Objective: This study aimed to examine the effectiveness of dark chocolate and carrot juice on perceived labor pain during stage 1 of birth delivery among primigravida. Methods: This was a quasi-experimental study with participants who received dark chocolate (n=30), carrot juice (n=30), and control group (n=30). Pain level was assessed by using the Numeric Pain Rating Scale (NPRS) before the intervention and at 30 hours after intervention. The Chi-square and one-way analysis of variance tests and general equational model were used. Results: Data were collected and analyzed before and after 60 minutes of intervention. Our results showed a significant interaction between the group and time, with both groups independently ameliorating labor pain. Conclusion: Dark chocolate and carrot juice therapies independently lowered pain labor in primigravida mothers, making them a viable treatment for advanced pain labor.

show abstract

Section: Discussionmentioning

confidence: 98%

Effectiveness of Dark Chocolate and Carrot Juice on Perceived Labor Pain During Stage 1 of Birth Delivery Among Primigravida: A Quasi-Experimental Study

Fadria,

Alchalidi,

Abdurrahman

et al. 2024

Med Arch

View full text Add to dashboard Cite

show abstract

“…In the Cochrane analysis [ 19 ] , a balloon catheter probably reduces the rate of uterine hyperstimulation combined with FHR (RR 0.35, 95% CI 0.18–0.67), rate of serious neonatal morbidity or perinatal death (RR 0.48, 95% CI 0.25–0.93) and may slightly reduce the rate of aneonatal intensive care unit (NICU) admission (RR 0.82, 95% CI 0.65–1.04). A recent trial conducted by Grace et al published in 2021 [ 15 ] reported that the rates of uterine hyperstimulation and fetal distress were lower in DBC group than vaginal prostaglandin group in the first 12 h. However, a multicentre randomized controlled trial in Australian [ 10 ] showed that there were no statistically significant differences in the primary outcome variables (18.6% vs. 25.8%; RR 0.77, 95% CI 0.51–1.02; p = 0.070) or in the rate of meconium stained liquor (12.6% vs. 11.2%, p = 0.647) between DBC group and dinoprostone group, but uterine hyperstimulation occurred exclusively in the dinoprostone group (3.0% versus 0%; p = 0.029). Considering that maternal factors and fetal intrauterine conditions would affect neonatal outcomes, Diguisto et al [ 9 ] observed no difference in the rate of cesarean delivery due to nonreassuring fetal status for prolonged pregnancies between DBC group and dinoprostone group (5.8% vs. 5.3%, 95% CI 2.1–3.1%, p = 0.70).…”

Section: Discussionmentioning

confidence: 99%

“…Insertion to active labor is defined as the time from placing the DBC or applying dinoprostone to the start of regular contractions. Uterine hyperstimulation is defined as contractions more than 5 in 10 min for more than 20 min or contractions lasting more than 2 min in duration [ 15 ]. Fetal distress is defined as the symptoms that endanger the health and life of the fetus in utero due to acute or chronic hypoxia.…”

Section: Methodsmentioning

confidence: 99%

Efficacy and safety of double balloon catheter and dinoprostone for labor induction in multipara at term

Yuan

Peng

Yang

et al. 2023

Arch Gynecol Obstet

View full text Add to dashboard Cite

Purpose The aim of this study was to comparatively assess the efficacy and safety of double balloon catheter (DBC) and dinoprostone as labor-inducing agents just for multipara at term. Methods A retrospective cohort study was conducted among multipara at term with a Bishop score < 6 who needed planned labor induction from January 1, 2020, to December 30, 2020 in Maternal and Child Health Hospital of Hubei province, Tongji Medical College, Huazhong University of Science and Technology. They were divided into DBC group and dinoprostone group, respectively. Baseline maternal data, maternal and neonatal outcomes were recorded for statistical analysis. Total vaginal delivery rate, rate of vaginal delivery within 24 h, rate of uterine hyperstimulation combined with abnormal fetal heart rate(FHR) were regarded as the primary outcome variables. The difference between groups was considered statistically significant when p value < 0.05. Results A total of 202 multiparas was included for analysis (95 women in DBC group vs 107 women in dinoprostone group). There were no significant differences in total vaginal delivery rate and rate of vaginal delivery within 24 h between groups. Uterine hyperstimulation combined with abnormal FHR occurred exclusively in dinoprostone group. Conclusion DBC and dinoprostone seem to be equally effective, while, DBC seems to be safer than dinoprostone.

show abstract

“…In the Cochrane analysis[18], a balloon catheter probably reduces the rate of uterine hyperstimulation combined with FHR (RR 0.35, 95% CI 0.18-0.67), rate of serious neonatal morbidity or perinatal death (RR 0.48, 95% CI 0.25-0.93) and may slightly reduce the rate of aneonatal intensive care unit (NICU) admission (RR 0.82, 95% CI 0.65-1.04). A recent trial conducted by Grace et al published in 2021 [24] reported that the rates of uterine hyperstimulation and foetal distress were lower in DBC group than vaginal prostaglandin group in the rst 12 h. However, a multicentre randomized controlled trial in Australian [10] showed that there were no statistically signi cant differences in the primary outcome variables (a composite neonatal measure comprising nursery admission, intubation/cardiac compressions, acidaemia, hypoxic ischaemic encephalopathy, seizure, infection, pulmonary hypertension, stillbirth or death) and or in the rate of meconium stained liquor (12.6% vs 11.2%, P = 0.647)between DBC group and dinoprostone group (18.6% vs 25.8%; RR = 0.77, 95% CI 0.51-1.02; P = 0.070),but uterine hyperstimulation occurred exclusively in the dinoprostone group (3.0% versus 0%; P = 0.029). Considering that maternal factors and fetal intrauterine conditions would affect neonatal outcomes, Diguisto et al [9] observed no difference in the rate of cesarean delivery due to nonreassuring fetal status for prolonged pregnancies between DBC group and dinoprostone group (5.8% vs 5.3%,95% CI − 2.1-3.1%, p = 0.70).…”

Section: Discussionmentioning

confidence: 99%

Efficacy and safety of double balloon catheter and dinoprostone for labor induction in multipara at term

Yuan

Peng

Yang

et al. 2022

Preprint

View full text Add to dashboard Cite

Background: The aim of this study was to comparatively assess the efficacy and safety of double balloon catheter (DBC) and dinoprostone and as labor-inducing agents for multipara at term. Methods: A retrospective cohort study was conducted among multipara at term with a Bishop score <6 who needed planned labor induction from January 1, 2020, to December 30, 2020 in Maternal and Child Health Hospital of Hubei province, Tongji Medical College, Huazhong University of Science and Technology. They were divided into DBC group and dinoprostone group respectively according to the method of labor induction. Baseline maternal data and perinatal outcomes were recorded for statistical analysis. Total vaginal delivery rate, rate of vaginal delivery within 24 h, rate of uterine hyperstimulation combined with abnormal fetal heart rate(FHR) and rate of fetal distress were regarded as the primary outcome variables. The diffrerence between groups was considered statistically significant when p value <0.05. Results: A total of 202 pregnant women was included for analysis (95 women in DBC group vs 107 women in dinoprostone group). There were no significant differences in total vaginal delivery rate and rate of vaginal delivery within 24 h between groups (93.7% vs 86.9% and 75.8% vs 71%, p＞0.05). Uterine hyperstimulation combined with abnormal FHR occurred exclusively in dinoprostone group (0% vs 5.6%, p＜0.05). The rate of amniotic fluid fecal staining and prenatal fever in dinoprostone group was higher than in DBC group (p＜0.05). There was no significant difference in the rate of fetal distress between in the two groups (4.2% vs 10.3%, p＞0.05). Both groups were similar in neonatal outcomes including birth weight, neonatal asphyxia and neonatal intensive care unit admission (NICU). Conclusions: DBC and dinoprostone seem to be equally effective in labor induction for multipara at term, and DBC seems to be safer than dinoprostone during induction in multipara at term as it causes lower rate of uterine hyperstimulation combined with abnormal FHR.

show abstract

Multicentre randomised controlled trial comparing the safety in the first 12 h, efficacy and maternal satisfaction of a double balloon catheter and prostaglandin pessary for induction of labour

Cited by 14 publications

References 14 publications

Effectiveness of Dark Chocolate and Carrot Juice on Perceived Labor Pain During Stage 1 of Birth Delivery Among Primigravida: A Quasi-Experimental Study

Effectiveness of Dark Chocolate and Carrot Juice on Perceived Labor Pain During Stage 1 of Birth Delivery Among Primigravida: A Quasi-Experimental Study

Efficacy and safety of double balloon catheter and dinoprostone for labor induction in multipara at term

Efficacy and safety of double balloon catheter and dinoprostone for labor induction in multipara at term

Contact Info

Product

Resources

About