Balloon catheter vs oxytocin alone for induction of labor in women with a previous cesarean section: A randomized controlled trial

Sarreau, Mélie; Isly, Hélène; Poulain, P.; Fontaine, Brigitte; Morel, Olivier; Villemonteix, P.; Marès, P.; Mousty, E.; Godard, Alain; Ragot, Stéphanie; Pierre, Fabrice H.F.

doi:10.1111/aogs.13712

Cited by 14 publications

(22 citation statements)

References 29 publications

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“…A randomised controlled multicentre study compared induction of labour with the Foley catheter (n = 101, left in place for 12 h) in women with previous Caesarean section and unripe cervix (BS ≤ 4) to labour induction with intravenous oxytocin at increasing doses (n = 103) ( [35], LoE Ib). Endpoint of the study was the rate of vaginal deliveries, which was significantly higher following the use of balloon catheters (50.0 %) compared to the administration of intravenous oxytocin (37 %); there were no signficant differences in uterine rupture rates or perinatal outcomes between groups (▶ Table 1).…”

Section: Comparison Of Induction Of Labour With Balloon Catheter Vs I...mentioning

confidence: 99%

Mechanical Methods for the Induction of Labour After Previous Caesarean Section – An Updated, Evidence-based Review

Rath

Hellmeyer

Tsikouras

et al. 2022

Geburtshilfe Frauenheilkd

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There are currently no up-to-date evidence-based recommendations on the preferred method to induce labour after previous Caesarean section, especially for patients with unripe cervix, as randomised controlled studies are lacking. Intravenous oxytocin and misoprostol are contraindicated in these women because of the high risk of uterine rupture. In women with ripe cervix (Bishop Score > 6), intravenous administration of oxytocin is an effective procedure with comparable rates of uterine rupture to those with spontaneous onset of labour. Vaginal prostaglandin E2 (PGE2) and mechanical methods (balloon catheters, hygroscopic cervical dilators) are effective methods to induce labour in pregnant women with unripe cervix and previous Caesarean section. According to current guidelines, the administration of PGE2 is associated with a higher rate of uterine rupture compared to balloon catheters. Balloon catheters are therefore a suitable alternative to PGE2 to induce labour after previous Caesarean section, even though this is an off-label use. In addition to two meta-analyses published in 2016, 12 mostly retrospective cohort/observational studies with low to moderate levels of evidence have been published on mechanical methods of cervical ripening after previous Caesarean section. But because of the significant heterogeneity of the studies, substantial differences in study design, and insufficient numbers of pregnant women included in the studies, it is not possible to make any evidence-based recommendations based on these studies. According to a recent meta-analysis, the average rate using balloon catheters is approximately 53% and the average rate after spontaneous onset of labour is 72%. The uterine rupture rate was 0.2–0.9% for vaginal PGE2 and 0.56–0.94% for balloon catheters and is therefore comparable to the uterine rupture rate associated with spontaneous onset of labour. According to the product informations, hygroscopic cervical dilators (Dilapan-S) are currently the only method which is not contraindicated for cervical ripening/induction of labour in women with previous Caesarean section, although data are insufficient. Well-designed, randomised, controlled studies with sufficient case numbers comparing balloon catheters and hygroscopic cervical dilators with mechanical methods and vaginal prostaglandin E2/oral misoprostol are therefore necessary to allow proper decision-making.

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Section: Comparison Of Induction Of Labour With Balloon Catheter Vs I...mentioning

confidence: 99%

Mechanical Methods for the Induction of Labour After Previous Caesarean Section – An Updated, Evidence-based Review

Rath

Hellmeyer

Tsikouras

et al. 2022

Geburtshilfe Frauenheilkd

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“…This will allow for standardized protocols to be followed, thus mitigating differences in outcomes due to variations in clinical practice, increasing the generalizability of our findings. For example, cervical ripening is regularly used in women with one previous cesarean delivery in France [26][27][28]. In our team, women with one previous cesarean delivery are not contraindicated to mechanical device and its practice is usual and well framed [29].…”

Section: Discussionmentioning

confidence: 98%

Prospective observational study investigating the effectiveness, safety, women’s experiences and quality of life at 3 months regarding cervical ripening methods for induction of labor at term—The MATUCOL study protocol

et al. 2022

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Background The purposes of successful induction of labor (IOL) are to shorten the time for IOL to delivery, increase the vaginal delivery rate, and reduce the rate of maternal and neonatal morbidity. In cases of unfavorable cervix (Bishop score <6), cervical ripening is advised to improve vaginal delivery rate. It may be initiated by mechanical (double balloon catheter (DBC), synthetic osmotic dilator) or pharmacologic (prostaglandins) methods, and the problem is complex due to the multitude of cervical ripening methods. We are constantly looking for the optimal protocol of cervical ripening for each woman. The present study aims to elucidate whether cervical ripening method is associated with increase rate of vaginal delivery, good women’s experience and unaltered long-term quality of life after cervical ripening at term regarding maternal and obstetric characteristics. Methods and design The MATUCOL study is a monocentric, prospective, observational study of all consecutive women who required cervical ripening (Bishop score <6) using different methods (DBC, vaginal dinoprostone, oral misoprostol) with a live fetus at term (≥37 weeks) between January 2020 and August 2021. The outcomes will be mode of delivery, maternal and neonatal morbidity, discomfort/pain assessments during cervical ripening, women’s experience and satisfaction, and the impact of cervical ripening on the health-related quality of life at 3 months. If it reports a significant efficacy/safety/perinatal morbidity/women’s satisfaction/quality of life at 3 months post-delivery associated with a method of cervical ripening in a specific situation (gestational and/or fetal disease) using a multivariate analysis, its use should be reconsidered in clinical practice. Discussion This study will reveal that some cervical ripening methods will be more effectiveness, safe, with good women’s experiences and QOL at 3 months compared to others regarding maternal and obstetric characteristics. Trial registration This study is being performed at La Roche sur Yon Hospital following registration as GNEDS on January 8, 2020.

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“…94 In a small trial comparing cervical ripening methods for people with a previous cesarean birth and low Bishop score, French investigators found that the balloon catheter was associated with a higher probability of vaginal birth than low-dose intravenous oxytocin. 95 . How should induction of labor techniques be adapted when caring for pregnant persons who are obese?…”

Section:  How Long Should I Continue To Use Cervical Ripening Methods During Induction Of Labor Before Starting Synthetic Oxytocin To Inmentioning

confidence: 99%

“…Synthetic oxytocin and osmotic dilator devices may also be used for cervical ripening and to stimulate uterine contractions in these persons 94 . In a small trial comparing cervical ripening methods for people with a previous cesarean birth and low Bishop score, French investigators found that the balloon catheter was associated with a higher probability of vaginal birth than low‐dose intravenous oxytocin 95 …”

Section: Introductionmentioning

confidence: 99%

American College of Nurse‐Midwives Clinical Bulletin Number 18: Induction of Labor

Carlson

Amore

Ellis

et al. 2022

J Midwife Womens Health

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Induction of labor is an increasingly common component of intrapartum care in the United States. This rise is fueled by a nationwide escalation in both medically indicated and elective inductions at or beyond term, supported by recent research showing some benefits of induction over expectant management. However, induction of labor medicalizes the birth experience and may lead to a complex cascade of interventions. The purpose of this Clinical Bulletin is twofold: (1) to guide clinicians on the use of person-centered decision-making when discussing induction of labor and (2) to review evidence-based practice recommendations for intrapartum midwifery care during labor induction.

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Balloon catheter vs oxytocin alone for induction of labor in women with a previous cesarean section: A randomized controlled trial

Cited by 14 publications

References 29 publications

Mechanical Methods for the Induction of Labour After Previous Caesarean Section – An Updated, Evidence-based Review

Mechanical Methods for the Induction of Labour After Previous Caesarean Section – An Updated, Evidence-based Review

Prospective observational study investigating the effectiveness, safety, women’s experiences and quality of life at 3 months regarding cervical ripening methods for induction of labor at term—The MATUCOL study protocol

American College of Nurse‐Midwives Clinical Bulletin Number 18: Induction of Labor

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