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Double balloon device compared to oxytocin for induction of labour after previous caesarean section

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DOI: 10.4236/ojog.2013.31A039    3,629 Downloads   6,133 Views   Citations

ABSTRACT

Objective: To assess cervical changes, duration of oxytocin infusion, mode of delivery and complications after cervical ripening using a double balloon device in women with a previous caesarean section. Methods: Longitudinal study including 80 women with a previous caesarean section, no previous vaginal delivery and an unfavourable cervix (Bishop score < 4). Two groups were established: a double balloon device was used with 32 women (exposed) and not with the others (non-exposed) (48). Statistical analysis was performed by comparing means (Student’s t-test and Welch’s test or paired Student’s t-tests), or by comparing proportions (Chi square or Fisher’s tests). Results: The mean number of hours of oxytocin infusion was statistically significantly higher in the non-exposed group (14.09 ± 6.05 vs 9.78 ± 3.95; p < 0.001), and in the exposed group the Bishop score increased after removing the double balloon device (3.22 ± 2.03 vs 1.16 ± 1.30; p < 0.01). There were no significant differences in the mode of delivery, rates of intrapartum fever or chorioamnionitis. Conclusion: The double balloon device for cervical ripening prior to induction with oxytocin in women with a previous caesarean section improves Bishop scores without increasing the rates of complications and decreasing the time for which oxytocin is required.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Ferradas, E. , Alvarado, I. , Gabilondo, M. , Diez-Itza, I. and García-Adanez, J. (2013) Double balloon device compared to oxytocin for induction of labour after previous caesarean section. Open Journal of Obstetrics and Gynecology, 3, 212-216. doi: 10.4236/ojog.2013.31A039.

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