TY - JOUR
T1 - Labor induction in nulliparous women with an unfavorable cervix
T2 - Double balloon catheter versus dinoprostone
AU - Suffecool, Katarzyna
AU - Rosenn, Barak M.
AU - Kam, Stefanie
AU - Mushi, Juliet
AU - Foroutan, Janelle
AU - Herrera, Kimberly
PY - 2014/3
Y1 - 2014/3
N2 - Objective: We sought to compare the efficacy of the double-balloon catheter and dinoprostone for induction of labor among nulliparous women with an unfavorable cervix. Study design: Nulliparous women with a Bishop score < 6 were randomized to receive a 10-mg intravaginal dinoprostone insert or a double-balloon catheter. Primary outcome was time to delivery. Statistical analyses were performed by intention to treat using the chi-square, Fisher's exact, and Student's t-test, as appropriate. Results: The mean induction-to-delivery time was shorter in the double-balloon group as compared to the dinoprostone group (17.9 ± 5.8 vs. 26.3 ± 9.7 h) as was the time from induction to vaginal delivery (19.13 ± 5 vs. 24.45 ± 8.7 h, respectively). More women in the catheter group were delivered within 24 h compared to the dinoprostone group (87.1% vs. 47.4%). Approximately 50% of women in both groups delivered by cesarean section. Conclusion: Induction of labor with the double-balloon catheter in nulliparous women with an unfavorable cervix is associated with a shorter time to delivery compared to dinoprostone.
AB - Objective: We sought to compare the efficacy of the double-balloon catheter and dinoprostone for induction of labor among nulliparous women with an unfavorable cervix. Study design: Nulliparous women with a Bishop score < 6 were randomized to receive a 10-mg intravaginal dinoprostone insert or a double-balloon catheter. Primary outcome was time to delivery. Statistical analyses were performed by intention to treat using the chi-square, Fisher's exact, and Student's t-test, as appropriate. Results: The mean induction-to-delivery time was shorter in the double-balloon group as compared to the dinoprostone group (17.9 ± 5.8 vs. 26.3 ± 9.7 h) as was the time from induction to vaginal delivery (19.13 ± 5 vs. 24.45 ± 8.7 h, respectively). More women in the catheter group were delivered within 24 h compared to the dinoprostone group (87.1% vs. 47.4%). Approximately 50% of women in both groups delivered by cesarean section. Conclusion: Induction of labor with the double-balloon catheter in nulliparous women with an unfavorable cervix is associated with a shorter time to delivery compared to dinoprostone.
KW - Double-balloon catheter
KW - Labor induction
KW - Prostaglandins
UR - http://www.scopus.com/inward/record.url?scp=84898658704&partnerID=8YFLogxK
U2 - 10.1515/jpm-2013-0152
DO - 10.1515/jpm-2013-0152
M3 - Article
C2 - 24096438
AN - SCOPUS:84898658704
SN - 0300-5577
VL - 42
SP - 213
EP - 218
JO - Journal of Perinatal Medicine
JF - Journal of Perinatal Medicine
IS - 2
ER -