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Experience of using a double balloon catheter for cervical ripening in the induction of labor

Баев О. Р., Бабич Д. А., Шмаков Р. Г., Полушкина Е. С., Николаева А. В.
Акушерство и гинекология
Т. 2019, Вып. 3, С. 64-71
Опубликовано: 2019
Тип ресурса: Статья

DOI:10.18565/aig.2019.3.64-71

Аннотация:
Objective. To determine the effectiveness and safety of using a double balloon catheter for cervical ripening in the induction of labor. Materials and methods. The study comprised 60 women with singleton pregnancies at ≥ 34 weeks' gestation diagnosed with a cephalic presentation, unripe cervix (Bishop score <8), and indications for labor induction. A double balloon catheter for cervical ripening was inserted through the cervix. After 12 hours, the balloon was removed, and the patients were examined again. Depending on the Bishop score, patients underwent additional cervical ripening with either dinoprostone gel or amniotomy. If they failed to respond, induction of labor was performed by oxytocin infusion. Results. The mean gain in the Bishop score was 3. 13.3[%] of patients went into labor before balloon removal. The onset of labor was observed on average 3 hours after catheter removal. Sixty percent of women gave birth vaginally. The overall rate of operative delivery was 45[%]. Failed la
Ключевые слова:
Amniotomy; Cervical ripening; Dinoprostone; Double balloon catheter; Intracervical catheter; Labor induction; Mifepristone; Oxytocin; Uterine cervix
oxytocin; prostaglandin E2; amniotomy; Article; birth weight; Bishop score; catheter removal; female; gel; genital system disease assessment; gestation period; human; labor induction; labor onset; major clinical study; uterine cervix ripening; vaginal delivery
Язык текста: Русский
ISSN: 0300-9092
Баев О. Р. Олег Радомирович 1957-
Бабич Д. А. Дмитрий Александрович 1991-
Шмаков Р. Г.
Полушкина Е. С.
Николаева А. В.
Baev O. R. Oleg Radomirovich 1957-
Babich D. A. Dmitrij Aleksandrovich 1991-
Shmakov R. G.
Polushkina E. S.
Nikolaeva A. V.
Experience of using a double balloon catheter for cervical ripening in the induction of labor
Текст визуальный непосредственный
Акушерство и гинекология
Бионика Медиа
Т. 2019, Вып. 3 С. 64-71
2019
Статья
Amniotomy Cervical ripening Dinoprostone Double balloon catheter Intracervical catheter Labor induction Mifepristone Oxytocin Uterine cervix
oxytocin prostaglandin E2 amniotomy Article birth weight Bishop score catheter removal female gel genital system disease assessment gestation period human labor induction labor onset major clinical study uterine cervix ripening vaginal delivery
Objective. To determine the effectiveness and safety of using a double balloon catheter for cervical ripening in the induction of labor. Materials and methods. The study comprised 60 women with singleton pregnancies at ≥ 34 weeks' gestation diagnosed with a cephalic presentation, unripe cervix (Bishop score <8), and indications for labor induction. A double balloon catheter for cervical ripening was inserted through the cervix. After 12 hours, the balloon was removed, and the patients were examined again. Depending on the Bishop score, patients underwent additional cervical ripening with either dinoprostone gel or amniotomy. If they failed to respond, induction of labor was performed by oxytocin infusion. Results. The mean gain in the Bishop score was 3. 13.3[%] of patients went into labor before balloon removal. The onset of labor was observed on average 3 hours after catheter removal. Sixty percent of women gave birth vaginally. The overall rate of operative delivery was 45[%]. Failed la