Factors associated with successful balloon catheter labor induction in women with a previous caesarean section: A retrospective single-center evaluation. - Université de Lille Accéder directement au contenu
Article Dans Une Revue Journal of Gynecology Obstetrics and Human Reproduction Année : 2024

Factors associated with successful balloon catheter labor induction in women with a previous caesarean section: A retrospective single-center evaluation.

Résumé

Background Labor induction of women with a history of uterine scarring is an increasingly frequent situation and one for which there are currently no clear professional recommendations favoring one method over another. The objectives of this study were to determine the success rate of balloon catheter induction in women with a history of caesarean section and to evaluate the main factors associated with vaginal delivery. Materials and methods This single-center retrospective study was conducted between January 1, 2014, and December 31, 2018, in Lille, France, and included all women with one previous caesarean section who were induced by first-line balloon catheter induction. Multivariate analysis was performed to identify the factors associated with the primary outcome (vaginal delivery). Results Of the 310 women in the sample, 192 delivered vaginally (62 %). After adjustment, factors associated with successful induction (vaginal delivery) were the number of previous vaginal deliveries (odds ratio [OR] 1.37; 95 % confidence interval [CI] 1.04–1.81), evolution of the Bishop score after balloon removal (OR 1.24; 95 % CI 1.10–1.41), and the initial Bishop score (OR 1.17; 95 % CI 1.00–1.37). Uterine rupture was observed in three women (1 %). Conclusion The vaginal delivery rate after balloon catheter induction in women with a previous caesarean section was 62 %. Prognostic factors for vaginal delivery include previous vaginal delivery, the initial Bishop score, and evolution of the Bishop score after balloon catheter induction.
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Dates et versions

hal-04575644 , version 1 (15-05-2024)

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Louise Ghesquière, Cyril Bengler, Elodie Drumez, Damien Subtil, Véronique Houfflin-Debarge, et al.. Factors associated with successful balloon catheter labor induction in women with a previous caesarean section: A retrospective single-center evaluation.. Journal of Gynecology Obstetrics and Human Reproduction, 2024, Journal of Gynecology Obstetrics and Human Reproduction, 53 (4), pp.102743. ⟨10.1016/j.jogoh.2024.102743⟩. ⟨hal-04575644⟩

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