Can we induce labor by mechanical methods following preterm premature rupture of membranes?
| Autor: | Damien Subtil, Marion Guckert, Charles Garabedian, Elodie Drumez, Céline Petit, V. Houfflin-Debarge, Alexane Tournier, E. Clouqueur |
|---|---|
| Přispěvatelé: | Environnement périnatal et croissance - EA 4489 (EPS), Université de Lille-Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille) |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Fetal Membranes Premature Rupture medicine.medical_specialty [SDV]Life Sciences [q-bio] Gestational Age Oxytocin Balloon Reproductive Tract Infections Catheterization Cohort Studies 03 medical and health sciences 0302 clinical medicine Pregnancy Intensive care Humans Medicine Labor Induced Retrospective Studies Uterine Diseases 030219 obstetrics & reproductive medicine Respiratory distress Cesarean Section business.industry Obstetrics Infant Newborn Balloon catheter Obstetrics and Gynecology medicine.disease 3. Good health Reproductive Medicine 030220 oncology & carcinogenesis Prostaglandins Female Endometritis business Premature rupture of membranes Cervical Ripening medicine.drug Cohort study |
| Zdroj: | Journal of Gynecology Obstetrics and Human Reproduction Journal of Gynecology Obstetrics and Human Reproduction, Elsevier, 2020, 49, pp.101745-. ⟨10.1016/j.jogoh.2020.101745⟩ Journal of Gynecology Obstetrics and Human Reproduction, 2020, 49, pp.101745-. ⟨10.1016/j.jogoh.2020.101745⟩ |
| ISSN: | 2468-7847 |
| DOI: | 10.1016/j.jogoh.2020.101745⟩ |
| Popis: | Objective To evaluate the use of the intracervical balloon compared with locally applied prostaglandins for cervical ripening for induction in patients with preterm premature rupture of membranes. Methods Monocentric, retrospective (from 2002 to 2017) observational cohort study of singleton pregnancies complicated by preterm premature rupture of membranes and induced between 34 and 37 weeks. The primary outcome measure was balloon catheter efficiency evaluated by Cesarean section rate. Secondary outcomes were : interval from induction to delivery, labor duration, oxytocin use, intrauterine infection rate, maternal complications (i.e., postpartum hemorrhage and endometritis), and neonatal complications. Results 60 patients had cervical ripening with prostaglandins alone and 58 had balloon catheter. Demographic characteristics were similar between the groups, except for induction term and neonatal weight. There was not a significant difference in occurrence of Cesarean section rate (p = 0.14). Nor were there significant differences in time from induction to birth (p = 0.32) or in intrauterine infection rate (p = 0.95). Labor duration was shorter (p = 0.006) and total oxytocin dose lower (p = 0.005) in patients induced by prostaglandins alone. Concerning neonatal outcomes, there were more transfers to intensive care (p = 0.008) and more respiratory distress (p = 0.005) among newborns induced by prostaglandins. Conclusion Compared with locally applied prostaglandins, balloon catheter induction is not associated with an increase of Cesarean section rate in patients with preterm premature rupture of membranes. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect