Evidence map›Paper›PMID 28315935›Full record

ArticleArchives of gynecology and obstetrics2017

Double-balloon catheter for induction of labour in women with a previous cesarean section, could it be the best choice?

Carlos De Bonrostro Torralba, Eva Lucía Tejero Cabrejas, Sabina Marti Gamboa, María Lapresta Moros, Jose Manuel Campillos Maza, Sergio Castán Mateo

Abstract read
In one paragraph

Article in Archives of gynecology and obstetrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Article
  5. Article
  6. Double-balloon catheter for induction of labor in 362 women with and without prior cesarean section.European journal of obstetrics & gynecology and reproductive biology: X · 2019
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Carlos De Bonrostro TorralbaHospital Universitario Materno-Infantil Miguel Servet, Paseo Isabel La Católica 1-3, 50009, Zaragoza, Spain. cdebonrostro@gmail.com.ORCID http://orcid.org/0000-0002-8218-1460
Eva Lucía Tejero CabrejasDepartment of Obstetrics, Hospital Universitario Materno-Infantil Miguel Servet, Zaragoza, Spain.ORCID http://orcid.org/0000-0002-9358-031X
Sabina Marti GamboaDepartment of Obstetrics, Hospital Universitario Materno-Infantil Miguel Servet, Zaragoza, Spain.ORCID http://orcid.org/0000-0002-6767-9084
María Lapresta MorosDepartment of Obstetrics, Hospital Universitario Materno-Infantil Miguel Servet, Zaragoza, Spain.ORCID http://orcid.org/0000-0002-3493-3138
Jose Manuel Campillos MazaDepartment of Obstetrics, Hospital Universitario Materno-Infantil Miguel Servet, Zaragoza, Spain.ORCID http://orcid.org/0000-0002-0306-8858
Sergio Castán MateoDepartment of Obstetrics, Hospital Universitario Materno-Infantil Miguel Servet, Zaragoza, Spain.ORCID http://orcid.org/0000-0002-9048-121X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWe analysed the efficacy and safety of double-balloon catheter for cervical ripening in women with a previous cesarean section and which were the most important variables associated with an increased risk of repeated cesarean delivery. MATERIALS AND

methodsWe designed an observational retrospective study of 418 women with unfavourable cervices (Bishop Score <5), a prior cesarean delivery, and induction of labour with a double-balloon catheter. Baseline maternal data and perinatal outcomes were recorded for a descriptive, bivariate, and multivariate analysis. A p value <0.05 was considered statistically significant.

resultsMost women improved their initial Bishop Score (89.5%) although only a 20.8% of them went into spontaneous active labour. Finally, 51.4% of the women achieved a vaginal delivery. Five cases of intrapartum uterine rupture (1.2%) occurred. After multivariate analysis, main risk factors for repeated cesarean section were dystocia in the previous pregnancy (OR 1.744; CI 95% 1.066-2.846), the absence of previous vaginal delivery (OR 2.590; CI 95% 1.066-6.290), suspected fetal macrosomia (OR 2.410; CI 95% 0.959-6.054), and duration of oxytocin induction period (OR 1.005; CI 95% 1.004-1.006). The area under the curve was 0.789 (p < 0.001).

conclusionsDouble-balloon catheter seems to be safe and effective for cervical ripening in women with a previous cesarean delivery and unfavourable cervix. In our study, most women could have a vaginal delivery in spite of their risk factors for cesarean delivery. A multivariate model based on some clinical variables has moderate predictive value for intrapartum cesarean section.

Indexed as

AdultCatheterizationCervical RipeningCervix UteriCesarean SectionCesarean Section, RepeatDelivery, ObstetricDystociaFemaleFetal MacrosomiaHumansLabor, InducedOxytocinParturitionPregnancyRetrospective StudiesOxytocinCathetersCervical ripeningInduced LabourObstetric labourTrial of labourVaginal birth after cesarean

Identifiers

PMID28315935
PMCPMC5388719

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.