What can we do to reduce the associated costs in induction of labour of intrauterine growth restriction foetuses at term? A cost-analysis study

Duro-Gómez, Jorge; Garrido-Oyarzún, María Fernanda; Rodríguez-Marín, Ana Belén; González, Antonio Jesús de la Torre; Arjona-Berral, José Eduardo; Castelo-Branco, Camil

doi:10.1007/s00404-017-4458-x

Cited by 14 publications

(10 citation statements)

References 17 publications

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“…The induction-to-birth interval was significantly shorter and the proportion of vaginal deliveries within 24 h was higher in the Propess group than in the Prostin E2 group. The success rates were higher (90% and 96.7% in the Prostin and Propess groups, respectively) than those in many other previous studies, with a success rate ranging from 71% to 90.4% [ 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 ]. We assumed that the efficacy of Propess would be better than that of Prostin E2 tablets in IOL.…”

Section: Discussioncontrasting

confidence: 61%

Comparison of the Dinoprostone Vaginal Insert and Dinoprostone Tablet for the Induction of Labor in Primipara: A Retrospective Cohort Study

Ting

Ding

Wei

2022

JCM

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This retrospective study aimed to compare the safety and efficacy of Prostin E2 and Propess for the induction of labor (IOL) in nulliparous women between January 2018 and October 2021. The inclusion criteria were nulliparous, singleton, >37 weeks’ gestation, cephalic presentation with an unfavorable cervix (Bishop score ≤ 6), no signs of labor, and use of one form of dinoprostone (Prostin E2 or Propess) for IOL. The cesarean section (C/S) rate and induction-to-birth interval were the main outcome measures. In total, 120 women were recruited. Sixty (50%) patients received Propess and 60 (50%) received repeated doses of Prostin E2. The Prostin E2 and Propess groups had similar patient characteristics, but the Bishop score was significantly higher in the Propess group than in the Prostin E2 group; therefore, multivariate analysis was conducted, and the Bishop score was not associated with the induction-to-birth interval. The C/S rate was not significantly different between the two groups, but the Propess group achieved a shorter induction-to-birth interval, a higher rate of vaginal delivery in 24 h, and a lower number of vaginal examinations than the Prostin E2 group. Propess was effective and safe in IOL and could be an option for cervical ripening in nulliparous pregnancy.

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Section: Discussioncontrasting

confidence: 61%

Comparison of the Dinoprostone Vaginal Insert and Dinoprostone Tablet for the Induction of Labor in Primipara: A Retrospective Cohort Study

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Ding

Wei

2022

JCM

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“…Disadvantages of COOK balloons include the possibility of potential infections, premature rupture of membranes, and cervical damage (13). Duro-Gómez reported the cost of misoprostol for IOL was lower than that of dinoprostone or COOK balloons, with similar obstetric and perinatal outcomes (15). Fan et.al reported that the success rate of COOK balloons for cervical ripening (100%) was signi cantly higher than that of oxytocin (79.38%), and the vaginal delivery rate was signi cantly higher in the balloon group (81.25% vs. 65%, P < 0.05) as well.…”

Section: Discussionmentioning

confidence: 97%

“…Bishop score ≥ 6 indicates mature cervix, with a higher score indicating higher success rate of IOL (13). Bishop score < 6 indicates immature cervical that requires cervical maturation promotion (13) (15). In contrast, the risk of hyper-stimulation of mechanical methods is lower than that of PGE, while the risks of CS and infection are similar (16,17).…”

Section: Introductionmentioning

confidence: 99%

“…Many studies have compared IOL effects among PGE and different types of balloons. Researchers have reported that IOL duration of PGE is shorter than mechanical methods, but tachysystole and other side effects occur more frequently under PGE administration (15). In contrast, the risk of hyper-stimulation of mechanical methods is lower than that of PGE, while the risks of CS and infection are similar (16,17).…”

Section: Introductionmentioning

confidence: 99%

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Application of COOK ok Cervical Ripening Balloon Combined With Artificial Rupture of Membranes and Oxytocin in Labor Induction for Full-term Pregnancy

Dong

Xin

et al. 2020

Preprint

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Background The use of COOK balloon in the process of induction of labor is gradually promoted. This study was conducted to investigate the safety and efficacy of COOK double balloon dilation for pre-induction cervical maturation and induction of labor. Methods A total of 343 pregnant women with full-term pregnancy in Shanghai Putuo Maternity & Infant Health Hospital from January 1st to September 30th of 2016 were enrolled. Of all the pregnant women, 166 had labor induction, which included the use of a COOK balloon, the implementation of artificial rupture of membranes (AROM) and oxytocin intravenous (IV) drip (COOK group). The other 177 pregnant women with spontaneous rupture of membranes (SROM) and mature cervix only administrated with oxytocin IV drip to promote regular uterus contraction (oxytocin group). Maternal adverse reactions, mode of delivery and delivery outcomes of two groups were subsequently compared between the two groups. Results There were significant differences of maternal age (28.29 ± 3.34 vs. 29.25 ± 3.62 years, P = 0.02), gestational age (283.49 ± 4.53 vs. 274.71 ± 7.04 years, P < 0.001) and birth weight (3435.27 ± 340.29 vs. 3354.63 ± 387.96 g, P = 0.02) between the COOK group and the oxytocin group. There were no significant differences in terms of gravidity, parity, mode of delivery, analgesia, 1 min and 5 min Apgar score, labor time, postpartum hemorrhage, and adverse events. Conclusion Use of a COOK balloon may help full-term pregnancy women with immature cervix obtain the same pregnancy results as those with mature cervix, without extra occurrence of adverse events.Trial registration This is an observational study and no registration is required.

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“…In addition, it is not a harmless technique and for this reason it is important to have adequate protocols in order to optimize resources and diminish risks. 2 In this review, we present the main controversies related to IOL.…”

Section: Introductionmentioning

confidence: 99%

Untitled

2017

IPCB

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According to WHO, 25% of all deliveries are induced in developed countries. There are many controversies and multiple guides to induction of labour (IOL) are used in different hospitals. There are social or maternofetal indications to IOL. The way to perform the IOL depends on cervical status. Currently, prostaglandins are considered the most effective method to IOL (delivery before 24hours). Depends on each patient, it is recommended misoprostol or dinoprostone. For cases with contraindications for prostaglandins, mechanical methods (Foley catheter or double balloon intracervical catheter) are good alternatives. In any case, some special circumstances (twins' pregnancies, women with previous caesarean…) must been considered. According to perinatal outcomes, both methods are similar. Although prostaglandins are more costeffective method, women are most satisfied with mechanical methods.

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What can we do to reduce the associated costs in induction of labour of intrauterine growth restriction foetuses at term? A cost-analysis study

Abstract: Misoprostol for induction of labour had lower related costs than dinoprostone or Cook balloon, with similar obstetrical and perinatal outcomes.

Cited by 14 publications

References 17 publications

Comparison of the Dinoprostone Vaginal Insert and Dinoprostone Tablet for the Induction of Labor in Primipara: A Retrospective Cohort Study

Comparison of the Dinoprostone Vaginal Insert and Dinoprostone Tablet for the Induction of Labor in Primipara: A Retrospective Cohort Study

Application of COOK ok Cervical Ripening Balloon Combined With Artificial Rupture of Membranes and Oxytocin in Labor Induction for Full-term Pregnancy

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What can we do to reduce the associated costs in induction of labour of intrauterine growth restriction foetuses at term? A cost-analysis study

Abstract: Misoprostol for induction of labour had lower related costs than dinoprostone or Cook balloon, with similar obstetrical and perinatal outcomes.

Cited by 14 publications

References 17 publications

Comparison of the Dinoprostone Vaginal Insert and Dinoprostone Tablet for the Induction of Labor in Primipara: A Retrospective Cohort Study

Comparison of the Dinoprostone Vaginal Insert and Dinoprostone Tablet for the Induction of Labor in Primipara: A Retrospective Cohort Study

Application of COOK&nbsp;ok Cervical Ripening Balloon Combined With Artificial Rupture of Membranes and Oxytocin in Labor Induction for Full-term Pregnancy

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Application of COOK ok Cervical Ripening Balloon Combined With Artificial Rupture of Membranes and Oxytocin in Labor Induction for Full-term Pregnancy