| Autor: |
Cecilia Villalain, Edurne Mazarico, Anna Peguero, Francesc Figueras, Eva Meler, Ignacio Herraiz, Alberto Galindo, Irene Llorente Muñoz, Erika Bonacina, Jose Eliseo Blanco, Patricia Barbero, Águeda Barberá, María Luisa Sánchez, David Lora Pablos |
| Jazyk: |
angličtina |
| Rok vydání: |
2024 |
| Předmět: |
|
| Zdroj: |
BMJ Open, Vol 14, Iss 9 (2024) |
| Druh dokumentu: |
article |
| ISSN: |
2044-6055 |
| DOI: |
10.1136/bmjopen-2024-089628 |
| Popis: |
Introduction Fetal growth restriction (FGR) affects about 3%–5% of term pregnancies. If prenatally detected and anterograde umbilical artery flow is preserved (stage I), it is recommended to deliver at term (≥ 37+0 weeks). In the absence of contraindications, the vaginal route is preferred, and labour induction is usually required. It has been postulated that mechanical methods for cervical ripening may have an optimal profile for the induction of term FGR fetuses since they are associated with less uterine stimulation than the standard pharmacological methods, and therefore, could be better tolerated by fetuses with reduced placental reserve. This study aims to evaluate whether cervical ripening with a Cook’s balloon for the induction of labour from 37+0 weeks of gestation in the stage I FGR manages to increase the rate of vaginal delivery compared with vaginal dinoprostone.Methods and analysis This will be an open-labelled, randomised, parallel-group clinical trial to be held in five Spanish maternities. Women aged ≥18 years with singleton pregnancies complicated with stage I FGR (defined as the presence of at least one of these two criteria: (1) estimated fetal weight (EFW) 95th percentile and presence of antegrade end-diastolic flow or (2.2.) Cerebroplacental ratio |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
|
