Induction of labor in women with previous cesarean section using the double balloon device

Abstract

Background and methods. To evaluate the efficacy and safety of labor induction by the double balloon device in women with previous cesarean section. Induction of labor was carried out in 37 women with previous cesarean section for various indications. All the inductions of labor were performed using the Atad double balloon device (ARD). Results. Cervical ripening (Bishop scores above 5) was achieved in 82.3% of the induced women with subsequent vaginal delivery in 78.6% and repeat cesarean section in 22.3%. An important observation of the results was the chances to achieve a vaginal delivery according to the second Bishop score that was recorded 12 hours following the insertion of the device. When the second was above 5 the chances for vaginal delivery were 79.4%. The mean time from removal of the device to delivery was 10.8 hours. No complications were noted using the device. Conclusions. The double balloon device appears to be a safe and effective method of inducing labor in women with a previous lower segment cesarean section. Wide scale studies and further use of the device for induction of labor in women who have had previous cesarean sections are warranted.

Predictive factors for successful cervical ripening using a double‐balloon catheter after previous cesarean delivery

“…in terms of size (105 vs 418 women), with the remaining seven studies enrolling between eight and 50 women. Similar to the present study, three studies reported that cervical ripening with DBC was useful and safe, resulted in a two‐fold increase in the initial Bishop score, with cesarean delivery rates of approximately 40%–50%, and no substantial increased risk of perinatal adverse events …”

“…In the present study, only the initial Bishop score at the time of installation and the Bishop score after removal of DBC appeared to be predictive of VBAC. Khotaba et al . showed that increasing initial Bishop score was associated with an increased rate of VBAC.…”

Double balloon catheter for induction of labour in Chinese women with previous caesarean section: one-year experience and literature review

“…Table 4 summarises the findings from some of the studies [8][9][10][11] including the current study. Most of the studies showed significant improvement in Bishop score after using the device and a favourable cervix was achieved in 75% to 85% of cases.…”

The Outcome of Vaginal Birth After Caesarean Section (VBAC): A Descriptive Study

“…Numerous references to caesarean section appear in ancient Hindu Egyptians, Greecians, Romans and other European folklore 1 . In past 20 years, the rate of C/S has steadily increased from about 5% to more than 20% 25 .…”