Balloon catheter for induction of labor in women with one previous cesarean and an unfavorable cervix.

Autor:	Huisman CMA; Obstetrics and Gynecology, Haaglanden Medical Center, The Hague, the Netherlands., Ten Eikelder MLG; Obstetrics and Gynecology, Leiden University Medical Center, Leiden, the Netherlands., Mast K; Obstetrics and Gynecology, Academic Hospital Maastricht, Maastricht, the Netherlands., Oude Rengerink K; Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, the Netherlands., Jozwiak M; Obstetrics and Gynecology, St. Antonius Hospital, Nieuwegein, the Netherlands., van Dunné F; Obstetrics and Gynecology, Haaglanden Medical Center, The Hague, the Netherlands., Duvekot JJ; Obstetrics and Gynecology, Erasmus University Medical Center, Rotterdam, the Netherlands., van Eyck J; Obstetrics and Gynecology, Isala Clinics, Zwolle, the Netherlands., Gaugler-Senden I; Obstetrics and Gynecology, Jeroen Bosch Hospital, Den Bosch, the Netherlands., de Groot CJM; Obstetrics and Gynecology, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands., Franssen MTM; Obstetrics and Gynecology, University Medical Center Groningen, Groningen, the Netherlands., van Gemund N; Obstetrics and Gynecology, St. Franciscus Gasthuis, Rotterdam, the Netherlands., Langenveld J; Obstetrics and Gynecology, Zuyderland Medical Center, Heerlen, the Netherlands., de Leeuw JW; Obstetrics and Gynecology, Ikazia Hospital, Rotterdam, the Netherlands., Oude Lohuis EJ; Obstetrics and Gynecology, Isala Clinics, Zwolle, the Netherlands.; Obstetrics and Gynecology, Medical Spectrum Twente, Enschede, the Netherlands., Oudijk MA; Obstetrics and Gynecology, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands., Papatsonis D; Obstetrics and Gynecology, Amphia Hospital, Breda, the Netherlands., van Pampus M; Obstetrics and Gynecology, Onze Lieve Vrouwe Gasthuis, Amsterdam, the Netherlands., Porath M; Obstetrics and Gynecology, Maxima Medical Center, Veldhoven, the Netherlands., Rombout-de Weerd S; Obstetrics and Gynecology, Albert Schweitzer Hospital, Dordrecht, the Netherlands., van Roosmalen JJ; Obstetrics and Gynecology, Leiden University Medical Center, Leiden, the Netherlands., van der Salm PCM; Obstetrics and Gynecology, Meander Medical Center, Amersfoort, the Netherlands., Scheepers HCJ; Obstetrics and Gynecology, Academic Hospital Maastricht, Maastricht, the Netherlands., Sikkema MJ; Obstetrics and Gynecology, Hospital Group Twente (ZGT), Almelo, the Netherlands., Sporken J; Obstetrics and Gynecology, Canisius Hospital, Nijmegen, the Netherlands., Stigter RH; Obstetrics and Gynecology, Deventer Hospital, Deventer, the Netherlands., van Wijngaarden WJ; Obstetrics and Gynecology, Haaglanden Medical Center, The Hague, the Netherlands., Woiski M; Obstetrics and Gynecology, Radboud University Medical Center, Nijmegen, the Netherlands., Mol BWJ; Department of Obstetrics and Gynecology, Monash University, Melbourne, Australia., Bloemenkamp KWM; Division Women and Baby, Department of Obstetrics, Birth Center Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, the Netherlands.
Jazyk:	angličtina
Zdroj:	Acta obstetricia et gynecologica Scandinavica [Acta Obstet Gynecol Scand] 2019 Jul; Vol. 98 (7), pp. 920-928. Date of Electronic Publication: 2019 Mar 07.
DOI:	10.1111/aogs.13558
Abstrakt:	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 <7 at 5 minutes or umbilical pH <7.10) occurred in 57 (5.7%) and 10 (3.2%) neonates, respectively (aOR 1.40, 95% CI 0.87-3.48). Women who were induced had a shorter postpartum admission time (2.0 vs 3.0 days (P < 0.0001)). Conclusions: In women with a previous cesarean section and a need for delivery, induction of labor with a balloon catheter does not result in a significant increase in adverse maternal and neonatal outcomes as compared with planned cesarean section. (© 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).)
Databáze:	MEDLINE
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