Pez V, Deruelle P, Kyheng M, Boyon C, Clouqueur E, Garabedian C
Clinique d'obstétrique, CHU de Lille, 59000 Lille, France.
Clinique d'obstétrique, CHU de Lille, 59000 Lille, France; EA 4489 Environnement périnatal et croissance, Université de Lille, 59000 Lille, France.
Gynecol Obstet Fertil Senol. 2018 Jul-Aug;46(7-8):570-574. doi: 10.1016/j.gofs.2018.05.009. Epub 2018 Jun 11.
To compare the effectiveness of single balloon catheter with double balloon catheter and dinoprostone insert for cervical ripening and labor induction on unfavourable cervix.
this is a comparative, retrospective, one-center trial. Were included singleton pregnancy in cephalic presentation. Were excluded cicatricial uterus. The outcomes were vaginal delivery rate, caesarean section rate, modification in Bishop score, time from induction to delivery, second time prostaglandin E2 resort, oxytocin administration resort, maternal or neonatal adverse events.
Were included 108 patients: 45 in single balloon catheter group, 32 in double balloon catheter group, 31 in dinoprostone insert group. Vaginal delivery rate was similar in single balloon catheter group (78 %) compared with others groups (75 % in double balloon catheter and 71 % in dinoprostone insert group respectively). Oxytocin administration resort was superior in single balloon catheter group. There was no significant difference on others outcomes. Labor induction costs were 9euros in single balloon catheter group, versus 55 and 81 euros in double balloon catheter group and dinoprostone insert group respectively.
Single balloon catheter seems just as effective as double balloon catheter and dinoprostone insert with its major asset the low cost for labor induction.
比较单球囊导管、双球囊导管和地诺前列酮栓剂用于宫颈成熟度差的促宫颈成熟及引产的有效性。
这是一项单中心的回顾性对照试验。纳入单胎头先露妊娠。排除瘢痕子宫。观察指标包括阴道分娩率、剖宫产率、Bishop评分的变化、引产至分娩的时间、再次使用前列腺素E2的情况、催产素的使用情况、母婴不良事件。
共纳入108例患者：单球囊导管组45例，双球囊导管组32例，地诺前列酮栓剂组31例。单球囊导管组的阴道分娩率（78%）与其他组相似（双球囊导管组为75%，地诺前列酮栓剂组为71%）。单球囊导管组催产素的使用情况更佳。其他观察指标无显著差异。单球囊导管组引产费用为9欧元，双球囊导管组和地诺前列酮栓剂组分别为55欧元和81欧元。
单球囊导管似乎与双球囊导管和地诺前列酮栓剂一样有效，其主要优势在于引产成本低。
