Double-balloon catheter and sequential vaginal prostaglandin E2 versus vaginal prostaglandin E2 alone for induction of labor after previous cesarean section

Autor: J Heimrich, Sven Kehl, Christel Weiss, Ekkehard Schleussner, Matthias W. Beckmann, Michael Wamsler, Marc Sütterlin, Ulf Dammer, Jana Beyer, Florian Faschingbauer
Rok vydání: 2015
Předmět:
Zdroj: Archives of Gynecology and Obstetrics. 293:757-765
ISSN: 1432-0711
0932-0067
DOI: 10.1007/s00404-015-3907-7
Popis: To evaluate the efficacy of inducing labor using a double-balloon catheter and vaginal prostaglandin E2 (PGE2) sequentially, in comparison with vaginal PGE2 alone after previous cesarean section. A total of 264 pregnant women with previous cesarean section undergoing labor induction at term were included in this prospective multicentre cohort study. Induction of labor was performed either by vaginal PGE2 gel or double-balloon catheter followed by vaginal PGE2. The primary outcome measure was the cesarean section rate. The cesarean section rate was 37 % without any statistically significant difference between the two groups (PGE2: n = 41, 37 % vs. balloon catheter/PGE2: n = 41, 42 %; P = 0.438). The median (range) number of applications of PGE2 [2 (1–10) versus 1 (0–8), P
Databáze: OpenAIRE