Changes in local protocols on inpatient cervical priming and introduction of outpatient priming: A nationwide survey in the Netherlands.

Autor: Croll DMR; Wilhelmina Children's Hospital Birth Centre, Division Woman and Baby, University Medical Centre Utrecht, Lundlaan 6, Utrecht, The Netherlands. Electronic address: d.m.r.croll-2@umcutrecht.nl., Hoge PC; Wilhelmina Children's Hospital Birth Centre, Division Woman and Baby, University Medical Centre Utrecht, Lundlaan 6, Utrecht, The Netherlands., Verhoeven CJM; Amsterdam UMC, Location VUmc, Midwifery Science, AVAG/APH research institute, van der Boechorststraat 7, Amsterdam, The Netherlands; Division of Midwifery, School of Health Sciences, University of Nottingham, Nottingham, United Kingdom; Maxima Medical Center, Department of Obstetrics and Gynecology, De Run 4600, Veldhoven, The Netherlands., de Boer MA; Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Obstetrics and Gynecology, Amsterdam Reproduction & Development research institute, De Boelelaan 1117, Amsterdam, The Netherlands., Bloemenkamp KWM; Wilhelmina Children's Hospital Birth Centre, Division Woman and Baby, University Medical Centre Utrecht, Lundlaan 6, Utrecht, The Netherlands., de Heus R; St. Antonius Hospital, Department of Obstetrics and Gynecology, Soestwetering 1, Utrecht, The Netherlands.
Jazyk: angličtina
Zdroj: European journal of obstetrics, gynecology, and reproductive biology [Eur J Obstet Gynecol Reprod Biol] 2021 Aug; Vol. 263, pp. 148-152. Date of Electronic Publication: 2021 Jun 10.
DOI: 10.1016/j.ejogrb.2021.06.004
Abstrakt: Objective: The aims of this study are to assess (changes in) local procedures for inpatient cervical priming as part of induction of labor and to identify the implementation of outpatient cervical priming in the Netherlands.
Methods: This survey study was conducted from October 2019 until January 2020; obstetricians of all 72 hospitals with a maternity unit in the Netherlands received a questionnaire. The questionnaire consisted of three parts: basic hospital data, local protocol on methods of inpatient induction of labor (IPI), local protocol for outpatient induction of labor (OPI).
Results: A response was received from 66/72 hospitals, giving a response rate of 92%. For IPI the most preferred method was a Foley catheter (87.9%), 27.6% protocols switched to prostaglandins after day 1 if the cervix was not ripe yet. A prostaglandin gel or pessary was not the preferred method on day 1 but only used after 24 h in 5 hospitals (7.6%). OPI was offered in 53% (35/66 hospitals), all using a Foley catheter.
Conclusion: In the Netherlands, local protocols for IPI have shifted towards the use of a Foley catheter. More than half of the hospitals offer OPI. As safety and efficacy data of OPI are lacking, research on this topic is urgently warranted.
Competing Interests: Conflict of interest The authors have no conflicts of interest to declare. DC, CV, MdB, KB and RdH are members of the PROBAAT-trial study group.
(Copyright © 2021. Published by Elsevier B.V.)
Databáze: MEDLINE
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