Umbilical cord presentation after use of a trans‐cervical balloon catheter

Abstract

The use of a TCBC with 180-250 mL of saline increases the risk of cord presentation.

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

“…suggested that the risk of UCP may increase with use of a larger TCBC in Japanese women: the incidences of UCP were 0.0% (0/320) and 0.7% (3/446) among 150‐mL and 200–250‐mL TCBC users, respectively ( P = 0.2693). A recent study confirmed that the incidence of UCP was significantly higher among 180–250‐mL TCBC users than among 70–150‐mL TCBC users (3.3% [2/61] vs 0.0% [0/662], P = 0.00701) . Another study retrospectively examined the incidence of UCP among 15 549 Japanese women with cephalic singleton pregnancies who attempted to give birth vaginally at or after 34 weeks of gestation between 1997 and 2010; the incidence of UCP was one in 753 women (0.13%) who underwent IOL using a 150‐mL TCBC, while the incidence was one in the remaining 14 796 women (0.007%) who did not undergo a TCBC procedure ( P = 0.095).…”

“…Several reports have raised concerns about a possible increased risk of UCP among TCBC users or among women who undergo IOL with unspecified methods . In 1983, Hirashima et al .…”

“…Several reports have raised concerns about a possible increased risk of UCP among TCBC users 6,8,9 Ն0.999 †Rupture of fetal membranes was confirmed at admission. ‡Use of uterotonic drugs, including intravenous oxytocin, intravenous prostaglandin F2a preparation, and/or oral prostaglandin E1 preparation.…”

“…A transcervical balloon catheter (TCBC), including Foley catheter or metreurynter, inflated with 30 mL or more of sterilized normal saline (or water) is currently used for the induction of labor (IOL) in women with unfavorable uterine cervix in Western countries as well as in Japan . Pharmacological agents, such as prostaglandin E2 gel for ripening of the cervix, are not available in Japan, and the Japan Society of Obstetrics and Gynecology recommends use of a TCBC with a saline volume of 150 mL or less to reduce the risk of umbilical cord prolapse (UCP), because there have been reports that volumes of more than 150 mL have a possible increased risk of UCP …”

“…A transcervical balloon catheter (TCBC), including Foley catheter or metreurynter, inflated with 30 mL or more of sterilized normal saline (or water) is currently used for the induction of labor (IOL) in women with unfavorable uterine cervix in Western countries as well as in Japan. [1][2][3][4][5][6][7][8][9] Pharmacological agents, such as prostaglandin E2 gel for ripening of the cervix, are not available in Japan, and the Japan Society of Obstetrics and Gynecology recommends use of a TCBC with a saline volume of 150 mL or less to reduce the risk of umbilical cord prolapse (UCP), 7 because there have been reports that volumes of more than 150 mL have a possible increased risk of UCP. [6][7][8][9] On 1 January 2009, the Japanese government launched a new medical insurance system, the Japan Obstetric Compensation System for Cerebral Palsy, to compensate for cerebral palsy (CP) derived in principle from intrapartum hypoxia and to improve perinatal care and requested the Japan Council for Quality Health Care (JCQHC) to organize this system.…”