TITLE:
Labor Induction with Transcervical Catheter versus Oral Misoprostol in Primiparous Women and Women with an Unripe Cervix
AUTHORS:
Anna Thorbiornson, Tomislav Vladic, Ylva Vladic Stjernholm
KEYWORDS:
Cervical Ripening, Transcervical Catheter, Oral Misoprostol, Vaginal Birth, Cesarean Section
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.5 No.14,
December
4,
2015
ABSTRACT: Objective: To compare labor induction with transcervical catheter to oral
misoprostol treatment in primiparous women and women with an unripe cervix, who
are at high risk for unsuccessful labor induction. Study Design: A retrospective study was carried out in a university
hospital in Sweden. Primary outcomes were vaginal birth within 24 hours and the
cesarean section rate. Secondary outcomes were the induction to vaginal
delivery interval, chorioamnionitis and neonatal asphyxia. Results: Vaginal birth within 24 hours was obtained more frequently
after catheter compared with misoprostol in primiparous women (p 0.05). The induction to vaginal delivery interval was 8 - 12
hours shorter after catheter (p 0.05). Conclusion: Labor induction with transcervical
catheter resulted in a higher rate of vaginal birth within 24 hours and an 8 - 12
hour shorter induction to vaginal delivery interval compared to treatment with oral misoprostol. This
was obtained without increasing the rates of cesarean section, chorioamnionitis
or neonatal asphyxia.