{"id":9580,"date":"2024-07-30T10:33:50","date_gmt":"2024-07-30T10:33:50","guid":{"rendered":"https:\/\/sescs.es\/?p=9580"},"modified":"2024-08-19T11:27:45","modified_gmt":"2024-08-19T11:27:45","slug":"sescs-publication-effectiveness-and-safety-of-the-double-intracervical-balloon-vs-dinoprostone-in-patients-with-previous-cesarean-section","status":"publish","type":"post","link":"https:\/\/sescs.es\/en\/sescs-publication-effectiveness-and-safety-of-the-double-intracervical-balloon-vs-dinoprostone-in-patients-with-previous-cesarean-section\/","title":{"rendered":"SESCS Publication: Effectiveness and Safety of the Double Intracervical Balloon vs Dinoprostone in Patients with Previous Cesarean Section"},"content":{"rendered":"

Alicia Rodr\u00edguez-Zurita, Sara Caami\u00f1a \u00c1lvarez, Carolina Caballero Garc\u00eda, Mar\u00eda Gallego Paniagua, Alba Rodr\u00edguez Gonz\u00e1lez, Miguel \u00c1ngel Garc\u00eda Bello, Elena D\u00edez Gonz\u00e1lez, Jos\u00e9 Luis Trabado Montesino<\/p>\n

ABSTRACT<\/strong><\/p>\n

To compare effectiveness and safety of the Cook’s balloon with vaginal dinoprostone to induce labor in patients with previous cesarean section.<\/p>\n

Observational, and retrospective study that included pregnant women at \u2265 37 weeks’ gestation, with unfavorable cervix, singleton pregnancy, intact membranes, and a previous cesarean section, who had undergone labor induction in the period 2014-2019. 170 patients (86 balloon-84 dinoprostone) were analyzed.<\/p>\n

The proportion of women achieving vaginal delivery within 24 h was higher in the dinoprostone than in double-balloon group (RR, 3.24; 95% CI, 1.36-7.72).<\/p>\n

No significant differences were detected in the first 48 h in vaginal deliveries (P = .749) or in cesarean section rates (P = .634).<\/p>\n

Nor were there differences in maternal or fetal safety profiles.<\/p>\n

A body mass index > 35 increased the risk of cesarean section by 1.53 times (P = .017) and a Bishop’s test score < 3 by 1.91 times (P = .009).<\/p>\n

A vaginal delivery following a cesarean section decreased the probability of another cesarean section by 0.46 times (P = .039).<\/p>\n

Labor induction with vaginal dinoprostone achieves better vaginal delivery rates in the first 24 h vs Cook’s balloon. While the difference in uterine rupture rate did not reach significance, this was higher in women receiving prostaglandin.<\/p>\n

Keywords<\/strong>: Cervical ripening; Dinoprostone; Double balloon catheter; Trial of labor after cesarean section.<\/p>\n

You can read the full article here<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"

Alicia Rodr\u00edguez-Zurita, Sara Caami\u00f1a \u00c1lvarez, Carolina Caballero Garc\u00eda, Mar\u00eda Gallego Paniagua, Alba Rodr\u00edguez Gonz\u00e1lez, Miguel \u00c1ngel Garc\u00eda Bello, Elena D\u00edez … <\/p>\n","protected":false},"author":3,"featured_media":6868,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"footnotes":""},"categories":[229,105],"tags":[],"class_list":["post-9580","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-featured","category-news"],"yoast_head":"\nSESCS Publication: Effectiveness and Safety of the Double Intracervical Balloon vs Dinoprostone in Patients with Previous Cesarean Section | SESCS<\/title>\n<meta name=\"description\" content=\"Mantente al d\u00eda de las novedades del Servicio de Evaluaci\u00f3n y Planificaci\u00f3n del Servicio Canario de la Salud (SESCS).\" \/>\n<meta name=\"robots\" content=\"index, follow, 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