Ripening the Highly Unfavorable Cervix With Extra-Amniotic Saline Instillation or Vaginal Prostaglandin E2 Application

Schreyer, Peter; Sherman, Dan; Ariely, Shlomo; Herman, Arie; Caspi, Eliahu

doi:10.1097/00006250-198906000-00006

Cited by 29 publications

(19 citation statements)

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“…Only 2 cases of failed induction occurred in the breech group and none in the vertex group, which corroborates the findings of others that this method is effective [5,27].…”

Section: Discussionsupporting

confidence: 90%

“…Our center has a long tradition of delivering breech-presenting fetuses vaginally [2], and induction of labor is performed for obstetric complications when criteria for vaginal delivery are fulfilled and there are no signs that the fetus is in immediate jeopardy. Our preferred method of induction for patients with an unripe cervix and vertex, as well as breech presentation, is a balloon catheter with extra-amniotic saline instillation which has been reported as being successful and safe for the vertex presentation [3][4][5], commenced concomitantly with oxytocin. This study was therefore conducted to evaluate the efficacy and safety of labor induction in patients with a breech presentation.…”

Section: Introductionmentioning

confidence: 99%

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Can Labor with Breech Presentation Be Induced?

Fait¹,

Daniel²,

Lessing³

et al. 1998

Gynecol Obstet Invest

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Our objective was to evaluate the efficacy and safety of labor induction in women with a breech presentation, and an unripe cervix. We conducted a retrospective, matched-paired study on patients with breech presentation and an unripe cervix (n = 23), who underwent induction of labor using extra-amniotic saline instillation. The women were compared to three matched control groups: 46 women with vertex presentation and an unripe cervix, whose labor was induced by the same method, 23 with breech presentation who underwent a vaginal trial of labor, and 23 women with breech presentation who underwent a cesarean section without a trial of labor. In the study group, 12 women (52.2%) delivered vaginally. Rates of Apgar score, birth trauma, and maternal morbidity were similar in all groups. Induction of labor in patients with a breech presentation and an unripe cervix may be attempted in selected cases as it seems to be efficacious (vaginal delivery rate of 52.2%) and safe for both fetus and mother.

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“…Only 2 cases of failed induction occurred in the breech group and none in the vertex group, which corroborates the findings of others that this method is effective [5,27].…”

Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Can Labor with Breech Presentation Be Induced?

Fait¹,

Daniel²,

Lessing³

et al. 1998

Gynecol Obstet Invest

View full text Add to dashboard Cite

show abstract

“…Recent studies compared the efficacy of balloon catheter with extra-amniotic saline instillation to P G E 2 (4)(5)(6). In these.…”

Section: Discussionmentioning

confidence: 99%

“…Extra-amniotic instillation of saline solution with an intracervical Foley catheter was used in the past, and in recent years interest in this has been renewed. Balloon catheterization with extra-amniotic saline instillation has been described as successful in effecting second-trimester abortion ( 1,2), inducing labour in cases of antepartum fetal death (3) and for different obstetric indications (4)(5)(6). A balloon catheter with extra-amniotic saline instillation is used mainly for ripening of the cervix and oxytocin infusion is used for augmentation when needed after ripening of the cervix is proved (4), or after the balloon is expelled (5).…”

mentioning

confidence: 99%

Balloon Catheter with Extra‐amniotic Saline Instillation: a Method of Induction in Pregnancies at 41 or More Gestational Weeks

Fait

Grisaru

Shenhav

et al. 1997

Aust NZ J Obst Gynaeco

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One hundred five women with a documented pregnancy of 41 weeks' gestation or more, admitted for induction of labour by balloon catheter with extra-amniotic saline instillation, were retrospectively compared to 196 women admitted in spontaneous labour at the same gestational age, with regard to mode of delivery. The success rate of the induction group was 97.1%. The mode of delivery did not differ significantly between the 2 groups. The Caesarean section rates were 11.4% in the induction group versus 9.7% in the spontaneous group. The mode of delivery after induction of labour by balloon catheter with extra-amniotic saline instillation and simultaneously commenced intravenous oxytocin infusion, in pregnancies of 41 weeks or more, is similar to that of spontaneous deliveries at the same gestational age.

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“…Compared with PGE2, EASI with an intracervical Foley balloon is associated with shorter time intervals to yield a favorable Bishop score, and similar incidence of CD (49)(50)(51).…”

Section: Foley Cathetermentioning

confidence: 99%