1. Balloon catheter for induction of labor in women with one previous cesarean and an unfavorable cervix
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Johannes J. Duvekot, Jim van Eyck, Mariëlle G. van Pampus, Jan Willem de Leeuw, Wim van Wijngaarden, Nicolette van Gemund, Frederique M. van Dunne, Christianne J.M. de Groot, Jan Sporken, Kelly Mast, Claartje M. A. Huisman, Katrien Oude Rengerink, Mallory Woiski, Sabina Rombout de Weerd, Josje Langenveld, Ingrid P.M. Gaugler-Senden, Mieke L.G. ten Eikelder, Martina Porath, Hubertina C.J. Scheepers, Marta Jozwiak, Paulien C.M. van der Salm, Jos van Roosmalen, Kitty W. M. Bloemenkamp, R.H. Stigter, Maureen T.M. Franssen, Ben W.J. Mol, Eefje J. Oude Lohuis, Marko Sikkema, Martijn A. Oudijk, Dimitri N.M. Papatsonis, Obstetrics and Gynaecology, ARD - Amsterdam Reproduction and Development, Amsterdam Reproduction & Development (AR&D), APH - Quality of Care, APH - Global Health, MUMC+: MA Arts Assistenten Obstetrie Gynaecologie (9), Obstetrie & Gynaecologie, MUMC+: MA Medische Staf Obstetrie Gynaecologie (9), RS: GROW - R4 - Reproductive and Perinatal Medicine, Obstetrics & Gynecology, and Reproductive Origins of Adult Health and Disease (ROAHD)
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induction of labor ,Cervix Uteri ,SECTION ,0302 clinical medicine ,Obstetrics and Gynaecology ,Medicine ,cervical ripening ,Prospective Studies ,Original Research Article ,030212 general & internal medicine ,Prospective cohort study ,reproductive and urinary physiology ,Netherlands ,RISK ,030219 obstetrics & reproductive medicine ,Obstetrics ,Pregnancy Outcome ,Obstetrics and Gynecology ,balloon catheter ,General Medicine ,female genital diseases and pregnancy complications ,3. Good health ,Uterine rupture ,medicine.anatomical_structure ,PREGNANCY ,repeat cesarean ,vaginal birth after cesarean ,Female ,Apgar score ,TRIAL ,Adult ,medicine.medical_specialty ,Foley catheter ,Catheterization ,FOLEY CATHETER ,03 medical and health sciences ,DELIVERY ,Journal Article ,Humans ,VAGINAL BIRTH ,Cesarean Section, Repeat ,Labor, Induced ,Cervix ,UTERINE RUPTURE ,Pregnancy ,business.industry ,Other Research Radboud Institute for Health Sciences [Radboudumc 0] ,Infant, Newborn ,Balloon catheter ,Odds ratio ,medicine.disease ,Dystocia ,Birth ,business - Abstract
Contains fulltext : 205398.pdf (Publisher’s version ) (Open Access) INTRODUCTION: When women with a previous cesarean section and an unfavorable cervix have an indication for delivery, the choice is to induce labor or to perform a cesarean section. This study aims to assess the effectiveness and safety of a balloon catheter as a method of induction of labor in women with one previous cesarean section and an unfavorable cervix compared with an elective repeat cesarean section. MATERIAL AND METHODS: We performed a prospective cohort study in 51 hospitals in the Netherlands on term women with one previous cesarean section, a live singleton fetus in cephalic position, an unfavorable cervix and an indication for delivery. We recorded obstetric, maternal and neonatal characteristics. We compared the outcome of women who were induced with a balloon catheter with the outcome of women who delivered by elective repeat cesarean section. Main outcomes were maternal and neonatal morbidity. Mode of delivery was a secondary outcome for women who were induced. Adjusted odds ratios (aOR) were calculated using logistic regression, adjusted for potential confounders. RESULTS: Analysis was performed on 993 women who were induced and 321 women who had a repeat cesarean section (August 2011 until September 2012). Among the women who were induced, 560 (56.4%) delivered vaginally and 11 (1.1%) sustained a uterine rupture. Composite adverse maternal outcome (uterine rupture, severe postpartum hemorrhage or postpartum infection) occurred in 73 (7.4%) in the balloon and 14 (4.5%) women in the repeat cesarean section group (aOR 1.58, 95% confidence interval [CI] 0.85-2.96). Composite adverse neonatal outcome (Apgar score
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- 2019