Predictive factors for successful cervical ripening using a double‐balloon catheter after previous cesarean delivery

Vital, Mathilde; Grange, Joséphine; Thuaut, Aurélie Le; Dimet, Jérôme; Ducarme, Guillaume

doi:10.1002/ijgo.12566

Cited by 11 publications

(12 citation statements)

References 26 publications

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“…For example, cervical ripening is regularly used in women with one previous cesarean delivery in France [26][27][28]. In our team, women with one previous cesarean delivery are not contraindicated to mechanical device and its practice is usual and well framed [29]. Other strengths also include performance of individual and prospective collection of data throughout the study period by the same physician and using a standardized protocol according to Bishop score (systematic cervical ripening for IOL with an unfavorable cervix (Bishop score <6), repeating cervical ripening until Bishop score will be above 6).…”

Section: Discussionmentioning

confidence: 98%

Prospective observational study investigating the effectiveness, safety, women’s experiences and quality of life at 3 months regarding cervical ripening methods for induction of labor at term—The MATUCOL study protocol

et al. 2022

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Background The purposes of successful induction of labor (IOL) are to shorten the time for IOL to delivery, increase the vaginal delivery rate, and reduce the rate of maternal and neonatal morbidity. In cases of unfavorable cervix (Bishop score <6), cervical ripening is advised to improve vaginal delivery rate. It may be initiated by mechanical (double balloon catheter (DBC), synthetic osmotic dilator) or pharmacologic (prostaglandins) methods, and the problem is complex due to the multitude of cervical ripening methods. We are constantly looking for the optimal protocol of cervical ripening for each woman. The present study aims to elucidate whether cervical ripening method is associated with increase rate of vaginal delivery, good women’s experience and unaltered long-term quality of life after cervical ripening at term regarding maternal and obstetric characteristics. Methods and design The MATUCOL study is a monocentric, prospective, observational study of all consecutive women who required cervical ripening (Bishop score <6) using different methods (DBC, vaginal dinoprostone, oral misoprostol) with a live fetus at term (≥37 weeks) between January 2020 and August 2021. The outcomes will be mode of delivery, maternal and neonatal morbidity, discomfort/pain assessments during cervical ripening, women’s experience and satisfaction, and the impact of cervical ripening on the health-related quality of life at 3 months. If it reports a significant efficacy/safety/perinatal morbidity/women’s satisfaction/quality of life at 3 months post-delivery associated with a method of cervical ripening in a specific situation (gestational and/or fetal disease) using a multivariate analysis, its use should be reconsidered in clinical practice. Discussion This study will reveal that some cervical ripening methods will be more effectiveness, safe, with good women’s experiences and QOL at 3 months compared to others regarding maternal and obstetric characteristics. Trial registration This study is being performed at La Roche sur Yon Hospital following registration as GNEDS on January 8, 2020.

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Section: Discussionmentioning

confidence: 98%

Prospective observational study investigating the effectiveness, safety, women’s experiences and quality of life at 3 months regarding cervical ripening methods for induction of labor at term—The MATUCOL study protocol

et al. 2022

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“…With the increasing rate of multiparous women in China, birth defects are a challenging issue. Women at very advanced maternal age (≥ 43 years) have a higher risk of preeclampsia, intrauterine growth retardation, stillbirth, and placental abruption than the younger counterparts [14]. Zhang X et al [15] analyzed 1,260,684 births from the surveillance system in Zhejiang province, China, and found that the rate of birth defects during 2013, 2015, and 2017 was 245.95, 264.86, and 304.36 per 10,000 births, respectively, and there was age-related anomalies after the release of China's new two-child policy.…”

Section: Discussionmentioning

confidence: 99%

Induction of labour in mid-trimester pregnancy using double-balloon catheter placement within 12 hours versus within 12-24 hours

Peng¹,

Du³

et al. 2020

Preprint

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Background This study aims to evaluate the efficacy and safety of the induction of labour in mid-trimester pregnancy using double-balloon catheter (DBC) within 12 hours versus within 12–24 hours. Methods In this retrospective study, a total of 58 pregnant women with gestation age of 14 + 0 weeks to 27 + 6 weeks were enrolled as research objects, and they underwent intended termination of pregnancy at our birth center from January 1, 2017, to June 31, 2019. Based on the duration time of DBC, the cases were divided into two groups (DBC group within 12 hours and DBC group within 12–24 hours). Results All of the 58 cases were successful vaginal delivery and no one chose cesarean section. The success rate of induction (successful abortion of fetus and placenta without the implementation of dilatation and evacuation) was higher in the DBC group within 12–24 hours (96.3%, 29/31) than that in DBC group within 12 hours (71.0%, 18/27) (p < 0.05). At the same time, the time from DBC removal to delivery in 12–24 hours DBC group was significantly shorter than that in DBC group within 12 hours (3.0 h versus 17.8 h) (p < 0.05), the degree of cervical dilation after DBC removal in DBC group within 12–24 hours was larger than that in DBC group within 12 hours (p < 0.05). Conclusion In the clinic, the placement time of DBC is generally lasting for about 12 hours. However, considering the cervical condition is immature in the mid-trimester, properly extending the placement time of DBC to 24 hours will benefit for cervical ripening and lead to reduce chance of dilatation and evacuation.

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“…[19–21] The ripening of cervical is difficult in some cases by oral mifepristone or oral mifepristone combined with extra-amniotic administration of ethacridine lactate. Some studies [6,22–23] have specifically reported on the use of DBC for cervical ripening among women with previous cesarean and an unfavorable cervix. The results show that DBC is useful and safe, which results an increase in the Bishop score of patients’ cervix but no increased risk of perinatal adverse events, such as cesarean delivery rate, neonatal outcome, and so on.…”

Section: Discussionmentioning

confidence: 99%

“…DBC [6,12] is usually used as per the manufacturer's instructions (Cervical Ripening Balloon; Cook OB/GYN, Spencer, IN, USA). It involves 2 balloons.…”

Section: Methodsmentioning

confidence: 99%

“…[5] Double balloon catheter (DBC) is an effective tool for cervical ripening, which is especially used in cases of uterine scar to increase the rate of vaginal birth after cesarean delivery. [6] It is an effective tool for cervical ripening, causing a lower incidence of uterine hyperstimulation than intravaginal prostaglandin E2. [7] Dilatation and curettage, which is similar vacuum aspiration, is a common method to induce abortion in early trimester.…”

Section: Introductionmentioning

confidence: 99%

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Clinical analysis of uterine artery embolization combined with double balloon catheter plus curettage for patients with placenta previa who underwent pregnancy termination and suffered antenatal massive hemorrhage in the 2nd trimester

Tang

Zhao

et al. 2019

Medicine

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Rationale:It is very difficult to treat patients with placenta previa who underwent pregnancy termination and suffered antenatal massive hemorrhage in the 2nd trimester.Patient concerns:In this study, case 1 was with fetal malformation of 18-trisomy syndrome at gestation of 19 weeks + 2 days, case 2 was with fetal malformation of 18-trisomy syndrome at gestation of 22 weeks + 1 day, and case 3 was for intrauterine fetal death at gestation of 27 weeks. All the 3 cases were completely placenta previa.Diagnoses:For the 3 patients, completely placenta previa was confirmed by ultrasound examination after hospitalization and underwent pregnancy termination for fetal death or fetal malformation in the 2nd trimester.Interventions:The 3 patients with placenta previa underwent pregnancy termination by mifepristone combined with ethacridine lactate in the 2nd trimester for intrauterine fetal death or fetal malformation from June 2017 to May 2018, and suffered antenatal massive hemorrhage during termination. Uterine artery embolization (UAE) was immediately performed to achieve hemostasis, then double balloon catheter (DBC) was carried out to promote cervical ripen, at last curettage was implemented with the help of ultrasound. After all these procedures, the clinical outcomes were observed.Outcomes:The antenatal bleeding volume of these 3 patients were about 500, 600, and 550 mL. After implementing the combined treatment, all patients completed the abortion. The UAE-DBC time interval and DBC-curettage time interval were 58.4 and 6.0 hours, respectively, for case 1, whereas almost 0 (i.e., immediately) for cases 2 and 3. Case 1 had a fever lasting for 3 days, and the maximum body temperature was up to 39°C after UAE. Moreover, the blood culture was positive for Escherichia coli after curettage in case 1, whereas it was negative in the other 2 cases.Lessons:The UAE-DBC–curettage combined treatment is safe and effective for patients with placenta previa who undergo pregnancy termination and suffered massive antenatal hemorrhage in the 2nd trimester. Future studies are needed to advance our observation.

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Predictive factors for successful cervical ripening using a double‐balloon catheter after previous cesarean delivery

Abstract: Several factors were found to predict successful cervical ripening using DBC.

Cited by 11 publications

References 26 publications

Prospective observational study investigating the effectiveness, safety, women’s experiences and quality of life at 3 months regarding cervical ripening methods for induction of labor at term—The MATUCOL study protocol

Prospective observational study investigating the effectiveness, safety, women’s experiences and quality of life at 3 months regarding cervical ripening methods for induction of labor at term—The MATUCOL study protocol

Induction of labour in mid-trimester pregnancy using double-balloon catheter placement within 12 hours versus within 12-24 hours

Clinical analysis of uterine artery embolization combined with double balloon catheter plus curettage for patients with placenta previa who underwent pregnancy termination and suffered antenatal massive hemorrhage in the 2nd trimester

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