Term prelabor rupture of membranes: Foley catheter versus dinoprostone as ripening agent.
Administration, Intravaginal
Adult
Cervical Ripening
/ physiology
Cesarean Section
/ statistics & numerical data
Delivery, Obstetric
/ methods
Dinoprostone
/ administration & dosage
Female
Fetal Membranes, Premature Rupture
/ therapy
Humans
Infant, Newborn
Labor, Induced
/ methods
Pregnancy
Retrospective Studies
Term Birth
Urinary Catheterization
Dinoprostone
Foley catheter
Induction
Term prelabor rupture of membranes
Journal
Journal of gynecology obstetrics and human reproduction
ISSN: 2468-7847
Titre abrégé: J Gynecol Obstet Hum Reprod
Pays: France
ID NLM: 101701588
Informations de publication
Date de publication:
Oct 2020
Oct 2020
Historique:
received:
02
03
2020
revised:
26
05
2020
accepted:
12
06
2020
pubmed:
26
6
2020
medline:
8
7
2021
entrez:
26
6
2020
Statut:
ppublish
Résumé
Term prelabor rupture of membranes (TPROM) occurs in approximately 8 % of pregnancies. This condition regularly requires medical intervention such as induction of labor. The actual data concerning cervical ripening in case of TPROM does not favor any of the available techniques. This is the first study comparing dinoprostone versus Foley catheter for cervical ripening in TPROM. We conducted a retrospective before-after study. We enrolled all the patients with confirmed TPROM after 37 weeks of gestation (WG) who required cervical ripening. Women were included if they had a singleton fetus in cephalic presentation, with unfavorable cervix (Bishop ≤ 6). Patients were excluded if they had a previous uterine surgery, a multiple pregnancy, contraindication to vaginal delivery, spontaneous labor or favorable cervix (Bishop > 6). During the first period (2015), the protocol of cervical ripening involved dinoprostone (prostaglandins E2) by vaginal administration (vaginal gel or pessary). During the second period (2016-2017), the protocol of cervical ripening involved Foley catheter (FC). The primary outcome was the rate of cesarean section. Two hundred and thirty-eight patients were included for the analysis: 131 in the first period (dinoprostone group) and 107 in the second period (foley catheter group). There was no significant difference between the two groups regarding the mode of delivery (cesarean section: 206 % vs 13 %, p = 016). Concerning tolerance, the were no difference in the rates of postpartum hemorrhage, maternal per-partum fever and endometrisis. Neonatal outcomes were similar between the two groups. The induction to delivery interval was lower with dinoprostone (20,3 h versus 26,0 h, p = 0001). The mean duration of labor was also significantly different (6,9 h for dinoprostone group versus 8,7 h for FC group, p = 001). Cervical ripening in case of TPROM after 37 W G with Foley catheter seems to be a safe technique with similar outcomes to prostaglandins regarding the mode of delivery.
Identifiants
pubmed: 32585393
pii: S2468-7847(20)30178-1
doi: 10.1016/j.jogoh.2020.101834
pii:
doi:
Substances chimiques
Dinoprostone
K7Q1JQR04M
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
101834Informations de copyright
Copyright © 2020 Elsevier Masson SAS. All rights reserved.