TY - JOUR
T1 - Balloon catheter for induction of labor in women with one previous cesarean and an unfavorable cervix
AU - Huisman, Claartje M. A.
AU - ten Eikelder, Mieke L. G.
AU - Mast, Kelly
AU - Rengerink, Katrien Oude
AU - Jozwiak, Marta
AU - van Dunne, Frederique
AU - Duvekot, Johannes J.
AU - van Eyck, Jim
AU - Gaugler-Senden, Ingrid
AU - de Groot, Christianne J. M.
AU - Franssen, Maureen T. M.
AU - van Gemund, Nicolette
AU - Langenveld, Josje
AU - de Leeuw, Jan Willem
AU - Lohuis, Eefje J. Oude
AU - Oudijk, Martijn A.
AU - Papatsonis, Dimitri
AU - van Pampus, Marielle
AU - Porath, Martina
AU - Rombout-de Weerd, Sabina
AU - van Roosmalen, Jos J.
AU - van der Salm, Paulien C. M.
AU - Scheepers, Hubertina C. J.
AU - Sikkema, Marko J.
AU - Sporken, Jan
AU - Stigter, Rob H.
AU - van Wijngaarden, Wim J.
AU - Woiski, Mallory
AU - Mol, Ben Willem J.
AU - Bloemenkamp, Kitty W. M.
AU - PROBAAT-S project Group
N1 - Funding Information:
Funding Information Financial support of €25,000 was given by the Perinatology and Maternal Disease workgroup of the Dutch Society of Obstetrics and Gynecology NVOG and €25,000 by the Dutch Obstetric Consortium.
Funding Information:
B.W.M. is supported by a NHMRC
Publisher Copyright:
© 2019 The Authors. Acta Obstetricia et Gynecologica Scandinavica published by John Wiley & Sons Ltd on behalf of Nordic Federation of Societies of Obstetrics and Gynecology (NFOG)
PY - 2019/7
Y1 - 2019/7
N2 - Introduction When women with a previous cesarean section and an unfavorable cervix have an indication for delivery, the choice is to induce labor or to perform a cesarean section. This study aims to assess the effectiveness and safety of a balloon catheter as a method of induction of labor in women with one previous cesarean section and an unfavorable cervix compared with an elective repeat cesarean section. Material and methods We performed a prospective cohort study in 51 hospitals in the Netherlands on term women with one previous cesarean section, a live singleton fetus in cephalic position, an unfavorable cervix and an indication for delivery. We recorded obstetric, maternal and neonatal characteristics. We compared the outcome of women who were induced with a balloon catheter with the outcome of women who delivered by elective repeat cesarean section. Main outcomes were maternal and neonatal morbidity. Mode of delivery was a secondary outcome for women who were induced. Adjusted odds ratios (aOR) were calculated using logistic regression, adjusted for potential confounders. Results Analysis was performed on 993 women who were induced and 321 women who had a repeat cesarean section (August 2011 until September 2012). Among the women who were induced, 560 (56.4%) delivered vaginally and 11 (1.1%) sustained a uterine rupture. Composite adverse maternal outcome (uterine rupture, severe postpartum hemorrhage or postpartum infection) occurred in 73 (7.4%) in the balloon and 14 (4.5%) women in the repeat cesarean section group (aOR 1.58, 95% confidence interval [CI] 0.85-2.96). Composite adverse neonatal outcome (Apgar score pH
AB - Introduction When women with a previous cesarean section and an unfavorable cervix have an indication for delivery, the choice is to induce labor or to perform a cesarean section. This study aims to assess the effectiveness and safety of a balloon catheter as a method of induction of labor in women with one previous cesarean section and an unfavorable cervix compared with an elective repeat cesarean section. Material and methods We performed a prospective cohort study in 51 hospitals in the Netherlands on term women with one previous cesarean section, a live singleton fetus in cephalic position, an unfavorable cervix and an indication for delivery. We recorded obstetric, maternal and neonatal characteristics. We compared the outcome of women who were induced with a balloon catheter with the outcome of women who delivered by elective repeat cesarean section. Main outcomes were maternal and neonatal morbidity. Mode of delivery was a secondary outcome for women who were induced. Adjusted odds ratios (aOR) were calculated using logistic regression, adjusted for potential confounders. Results Analysis was performed on 993 women who were induced and 321 women who had a repeat cesarean section (August 2011 until September 2012). Among the women who were induced, 560 (56.4%) delivered vaginally and 11 (1.1%) sustained a uterine rupture. Composite adverse maternal outcome (uterine rupture, severe postpartum hemorrhage or postpartum infection) occurred in 73 (7.4%) in the balloon and 14 (4.5%) women in the repeat cesarean section group (aOR 1.58, 95% confidence interval [CI] 0.85-2.96). Composite adverse neonatal outcome (Apgar score pH
KW - balloon catheter
KW - cervical ripening
KW - induction of labor
KW - repeat cesarean
KW - vaginal birth after cesarean
KW - UTERINE RUPTURE
KW - FOLEY CATHETER
KW - VAGINAL BIRTH
KW - SECTION
KW - PREGNANCY
KW - DELIVERY
KW - TRIAL
KW - RISK
U2 - 10.1111/aogs.13558
DO - 10.1111/aogs.13558
M3 - Article
C2 - 30723900
SN - 0001-6349
VL - 98
SP - 920
EP - 928
JO - Acta Obstetricia et Gynecologica Scandinavica
JF - Acta Obstetricia et Gynecologica Scandinavica
IS - 7
ER -