Experience of using a double balloon catheter for cervical ripening in the induction of labor


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Abstract

Objective. To determine the effectiveness and safety of using a double balloon catheter for cervical ripening in the induction of labor. Materials and methods. The study comprised 60 women with singleton pregnancies at > 34 weeks’ gestation diagnosed with a cephalic presentation, unripe cervix (Bishop score <8), and indications for labor induction. A double balloon catheter for cervical ripening was inserted through the cervix. After 12 hours, the balloon was removed, and the patients were examined again. Depending on the Bishop score, patients underwent additional cervical ripening with either dinoprostone gel or amniotomy. If they failed to respond, induction of labor was performed by oxytocin infusion. Results. The mean gain in the Bishop score was 3. 13.3% of patients went into labor before balloon removal. The onset of labor was observed on average 3 hours after catheter removal. Sixty percent of women gave birth vaginally. The overall rate of operative delivery was 45%. Failed labor induction was observed in 18.3% of cases. All the infants were born alive. The birth weight of the newborns corresponded to the population estimates. There were no infectious complications or significant adverse effects. Conclusion. The use of the double balloon catheter is effective in cervical ripening and induction of labor at 35- 41 weeks’ gestation without causing significant adverse effects on the mother or fetus.

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About the authors

Oleg R. Baev

National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov; I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: o_baev@oparina4.ru
MD, head of Maternity Department, professor of the Department of Obstetrics, Gynecology, Perinatology, and Reproductology

Dmitry A. Babich

I.M. Sechenov First MSMU of Minzdrav of Russia (Sechenov University)

Email: babich.d@rambler.ru
postgraduate student at the Department of Obstetrics, Gynecology, Perinatology and Reproductology, Institute of Professional Education

Roman G. Shmakov

National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov Ministry of Health of Russia

Email: r_shmakov@oparina4.ru
MD, head physician

Evgeniya S. Polushkina

National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov Ministry of Health of Russia

Email: e_polushkina@oparina4.ru
MD, senior researcher

Anastasia V. Nikolaeva

National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov Ministry of Health of Russia

Email: a_nikolaeva@oparina4.ru
PhD, head of the 2-nd Maternity Department

References

  1. Chauhan S.P., Ananth C. V. Induction of labor in the United States: a critical appraisal of appropriateness and reducibility. Semin. Perinatol. 2012; 36(5): 33643. https://dx.doi.org/10.1053/j.semperi.2012.04.016.
  2. Eikelder M.T., Rengerink O.K., Jozwiak M., de Leeuw J.W., de Graaf I.M., van Pampus M.G. et al. Induction of labour at term with oral misoprostol versus a Foley catheter (PROBAAT-II): a multicentre randomised controlled noninferiority trial. Lancet. 2016; 387(10028): 1619-28. https://dx.doi.org/10.1016/ S0140-6736(16)00084-2.
  3. Mizrachi Y., Levy M., Weiner E., Bar J., Barda G., Kovo M. Pregnancy outcomes after failed cervical ripening with prostaglandin E2 followed by Foley balloon catheter. J. Matern. Fetal Neonatal Med. 2015; 23: 1-5. https://dx.doi.org/10.3109/14767058.2015.1121477.
  4. Ezebialu I.U., Eke A.C., Eleje G.U., Nwachukwu C.E. Methods for assessing preinduction cervical ripening. Cochrane Database Syst. Rev. 2015; (6): CD010762. https://dx.doi.org/10.1002/14651858.CD010762.pub2.
  5. Vital M., Grange J., Le Thuaut A., Dimet J., Ducarme G. Predictive factors for successful cervical ripening using a double-balloon catheter after previous cesarean delivery. Int. J. Gynaecol. Obstet. 2018; 142(3): 288-94. https://dx.doi.org/10.1002/ijgo.12566.
  6. Jozwiak M., Bloemenkamp K.W., Kelly A.J., Mol B.W., Irion O., Boulvain M. Mechanical methods for induction of labour. Cochrane Database Syst. Rev. 2012; (3): CD001233. https://dx.doi.org/10.1002/14651858.CD001233.pub2.
  7. ACOG Committee Opinion No 579: Definition of term pregnancy. Obstet. Gynecol. 2013; 122(5): 1139-40. https://dx.doi.org/10.1097/01.AOG.0000437385.88715.4a.
  8. Gu N., Ru T., Wang Z., Dai Y., Zheng M., Xu B. et al. Foley catheter for induction of labor at term: an open-label, randomized controlled trial. PLoS One. 2015; 10(8): e0136856. https://dx.doi.org/10.1371/journal.pone.0136856. eCollection 2015.
  9. Jagielska I., Kazdepka-Zieminska A., Janicki R., Formaniak J., Walentowicz-Sadlecka M., Grabiec M. Evaluation of the efficacy and safety of Foley catheter pre-induction of labor. Ginekol. Pol. 2013; 84(3): 180-5.
  10. Policiano C., Pimenta M., Martins D., Clode N. Efficacy and safety of Foley catheter balloon for cervix priming in term pregnancy. Acta Med. Port. 2017; 30(4): 281-4. https://dx.doi.org/10.20344/amp.8003.
  11. Шалина Р.И., Зверева А.В., Бреусенко Л.Е., Лукашина М.В., Магнитская Н.А. Сравнительная оценка методов подготовки шейки матки к родам. Российский вестник акушера-гинеколога. 2012; 12(4): 49-54.
  12. Cheuk Q.K., Lo T.K., Lee C.P., Yeung A.P. Double balloon catheter for induction of labour in Chinese women with previous caesarean section: one-year experience and literature review. Hong Kong Med. J. 2015; 21(3): 243-50. https://dx.doi.org/10.12809/hkmj144404.
  13. Connolly K.A., Kohari K.S., Rekawek P., Smilen B.S., Miller M.R., Moshier E. et al. A randomized trial of Foley balloon induction of labor trial in nul-liparas (FIAT-N). Am. J. Obstet. Gynecol. 2016; 215(3): 392. e1-6. https://dx.doi.org/10.1016/j.ajog.2016.03.034.
  14. Mackeen A.D., Durie D.E., Lin M., Huis C.K., Qureshey E., Paglia M.J. et al. Foley plus oxytocin compared with oxytocin for induction after membrane rupture: A randomized controlled trial. Obstet. Gynecol. 2018; 131(1): 4-11. https://dx.doi.org/10.1097/AOG.0000000000002374.
  15. Schoen C.N., Grant G., Berghella V., Hoffman M.K., Sciscione A. Intracervical Foley catheter with and without oxytocin for labor induction. A randomized controlled trial. Obstet. Gynecol. 2017; 129(6): 1046-53. https://dx.doi.org/10.1097/AOG.0000000000002032.
  16. Jozwiak M., Rengerink O.K., Benthem M., van Beek E., Dijksterhuis M.G., de Graaf I.M. Foley catheter versus vaginal prostaglandin E2 gel for induction of labour at term (PROBAAT trial): an open-label, randomised controlled trial. Lancet. 2011; 378(9809): 2095-103. https://dx.doi.org/10.1016/S0140-6736(11)61484-0.
  17. Baev O.R., Rumyantseva V.P., Tysyachnyu O.V., Kozlova O.A., Sukhikh G.T. Outcomes of mifepristone usage for cervical ripening and induction of labour in full-term pregnancy. Randomized controlled trial. Eur. J. Obstet. Gynecol. Reprod. Biol. 2017; 217: 144-9. https://dx.doi.org/10.1016/j.ejogrb.2017.08.038.
  18. Dunn L., Kumar S., Beckmann M. Maternal age is a risk factor for caesarean section following induction of labour. Aust. N. Z. J. Obstet. Gynaecol. 2017; 57(4): 426-31. https://dx.doi.org/10.1111/ajo.12611.
  19. Mundle S., Bracken H., Khedikar V., Mulik J., Faragher B., Easterling T. et al. Foley catheterisation versus oral misoprostol for induction of labour in hypertensive women in India (INFORM): a multicentre, open-label, randomised controlled trial. Lancet. 2017; 390(10095): 669-80. https://dx.doi.org/10.1016/ S0140-6736(17)31367-3.
  20. Sayed Ahmed W.A., Ibrahim Z.M., Ashor O.E., Mohamed M.L., Ahmed M.R., Elshahat A.M. Use of the Foley catheter versus a double balloon cervical ripening catheter in pre-induction cervical ripening in postdate primigravidae. J. Obstet. Gynaecol. Res. 2016; 42(11): 1489-94. https://dx.doi.org/10.1111/jog.13086.
  21. Mei-Dan E., Walfisch A., Valencia C., Hallak M. Making cervical ripening EASI: a prospective controlled comparison of single versus double balloon catheters. J. Matern. Fetal Neonatal Med. 2014; 27(17): 1765-70. https://dx.doi.org/10.3109/14767058.2013.879704.
  22. Rouse D.J., Weiner S.J., Bloom S.L., Varner M.W., Spong C.Y., Ramin S.M. et al. Failed labor induction: toward an objective diagnosis. Obstet. Gynecol. 2011; 117(2, Pt 1): 267-72. https://dx.doi.org/10.1097/AOG.0b013e318207887a.
  23. Caughey A.B., Sundaram V., Kaimal A.J., Cheng Y.W., Gienger A., Little S.E. et al. Maternal and neonatal outcomes of elective induction of labor. Evid. Rep. Technol. Assess. (Full Rep.). 2009; (176): 1-257.
  24. Grobman W.A., Bailit J., Lai Y., Reddy U.M., Wapner R.J., Varner M.W. et al. Defining failed induction of labor. Am. J. Obstet. Gynecol. 2018; 218(1): 122. e1-122. e8. https://dx.doi.org/10.1016/j.ajog.2017.11.556.
  25. Баев О.Р., Румянцева В.П. Оптимизация подходов к применению мифепристона в подготовке к родам. Акушерство и гинекология. 2012; 6: 69-73.
  26. Lavoie A., McCarthy R.J., Wong C.A. The ED90 of prophylactic oxytocin infusion after delivery of the placenta during cesarean delivery in laboring compared with nonlaboring women: an up-down sequential allocation dose-response study. Anesth. Analg. 2015; 121(1): 159-64. https://dx.doi.org/10.1213/ANE.0000000000000781.
  27. Balki M., Erik-Soussi M., Kingdom J., Carvalho J.C. Oxytocin pretreatment attenuates oxytocin-induced contractions in human myometrium in vitro. Anesthesiology. 2013; 119(3): 552-61. https://dx.doi.org/10.1097/ALN.0b013e318297d347.

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