Balloon catheter for induction of labor in women with one previous cesarean and an unfavorable cervix

Claartje M. A. Huisman, Mieke L. G. ten Eikelder, Kelly Mast, Katrien Oude Rengerink, Marta Jozwiak, Frédérique van Dunné, Johannes J. Duvekot, Jim van Eyck, Ingrid Gaugler-Senden, Christianne J. M. de Groot, Maureen T. M. Franssen, Nicolette van Gemund, Josje Langenveld, Jan Willem de Leeuw, Eefje J. Oude Lohuis, Martijn A. Oudijk, Dimitri Papatsonis, Mariëlle van Pampus, Martina Porath, Sabina Rombout-de Weerd & 11 others Jos J. van Roosmalen, Paulien C. M. van der Salm, Hubertina C. J. Scheepers, Marko J. Sikkema, Jan Sporken, Rob H. Stigter, Wim J. van Wijngaarden, Mallory Woiski, Ben Willem J. Mol, Kitty W. M. Bloemenkamp, The PROBAAT-S project group

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

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 <7 at 5 minutes or umbilical pH <7.10) occurred in 57 (5.7%) and 10 (3.2%) neonates, respectively (aOR 1.40, 95% CI 0.87-3.48). Women who were induced had a shorter postpartum admission time (2.0 vs 3.0 days (P < 0.0001)). Conclusions: In women with a previous cesarean section and a need for delivery, induction of labor with a balloon catheter does not result in a significant increase in adverse maternal and neonatal outcomes as compared with planned cesarean section.
Original languageEnglish
Pages (from-to)920-928
JournalActa Obstetricia et Gynecologica Scandinavica
Volume98
Issue number7
DOIs
Publication statusPublished - 2019

Cite this

Huisman, C. M. A., ten Eikelder, M. L. G., Mast, K., Oude Rengerink, K., Jozwiak, M., van Dunné, F., ... The PROBAAT-S project group (2019). Balloon catheter for induction of labor in women with one previous cesarean and an unfavorable cervix. Acta Obstetricia et Gynecologica Scandinavica, 98(7), 920-928. https://doi.org/10.1111/aogs.13558
Huisman, Claartje M. A. ; ten Eikelder, Mieke L. G. ; Mast, Kelly ; Oude Rengerink, Katrien ; Jozwiak, Marta ; van Dunné, Frédérique ; Duvekot, Johannes J. ; van Eyck, Jim ; Gaugler-Senden, Ingrid ; de Groot, Christianne J. M. ; Franssen, Maureen T. M. ; van Gemund, Nicolette ; Langenveld, Josje ; de Leeuw, Jan Willem ; Oude Lohuis, Eefje J. ; Oudijk, Martijn A. ; Papatsonis, Dimitri ; van Pampus, Mariëlle ; Porath, Martina ; Rombout-de Weerd, Sabina ; van Roosmalen, Jos J. ; van der Salm, Paulien C. M. ; Scheepers, Hubertina C. J. ; Sikkema, Marko J. ; Sporken, Jan ; Stigter, Rob H. ; van Wijngaarden, Wim J. ; Woiski, Mallory ; Mol, Ben Willem J. ; Bloemenkamp, Kitty W. M. ; The PROBAAT-S project group. / Balloon catheter for induction of labor in women with one previous cesarean and an unfavorable cervix. In: Acta Obstetricia et Gynecologica Scandinavica. 2019 ; Vol. 98, No. 7. pp. 920-928.
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title = "Balloon catheter for induction of labor in women with one previous cesarean and an unfavorable cervix",
abstract = "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 <7 at 5 minutes or umbilical pH <7.10) occurred in 57 (5.7{\%}) and 10 (3.2{\%}) neonates, respectively (aOR 1.40, 95{\%} CI 0.87-3.48). Women who were induced had a shorter postpartum admission time (2.0 vs 3.0 days (P < 0.0001)). Conclusions: In women with a previous cesarean section and a need for delivery, induction of labor with a balloon catheter does not result in a significant increase in adverse maternal and neonatal outcomes as compared with planned cesarean section.",
author = "Huisman, {Claartje M. A.} and {ten Eikelder}, {Mieke L. G.} and Kelly Mast and {Oude Rengerink}, Katrien and Marta Jozwiak and {van Dunn{\'e}}, Fr{\'e}d{\'e}rique and Duvekot, {Johannes J.} and {van Eyck}, Jim and Ingrid Gaugler-Senden and {de Groot}, {Christianne J. M.} and Franssen, {Maureen T. M.} and {van Gemund}, Nicolette and Josje Langenveld and {de Leeuw}, {Jan Willem} and {Oude Lohuis}, {Eefje J.} and Oudijk, {Martijn A.} and Dimitri Papatsonis and {van Pampus}, Mari{\"e}lle and Martina Porath and {Rombout-de Weerd}, Sabina and {van Roosmalen}, {Jos J.} and {van der Salm}, {Paulien C. M.} and Scheepers, {Hubertina C. J.} and Sikkema, {Marko J.} and Jan Sporken and Stigter, {Rob H.} and {van Wijngaarden}, {Wim J.} and Mallory Woiski and Mol, {Ben Willem J.} and Bloemenkamp, {Kitty W. M.} and {The PROBAAT-S project group}",
year = "2019",
doi = "10.1111/aogs.13558",
language = "English",
volume = "98",
pages = "920--928",
journal = "Acta Obstetricia et Gynecologica Scandinavica",
issn = "0001-6349",
publisher = "Wiley-Blackwell",
number = "7",

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Huisman, CMA, ten Eikelder, MLG, Mast, K, Oude Rengerink, K, Jozwiak, M, van Dunné, F, Duvekot, JJ, van Eyck, J, Gaugler-Senden, I, de Groot, CJM, Franssen, MTM, van Gemund, N, Langenveld, J, de Leeuw, JW, Oude Lohuis, EJ, Oudijk, MA, Papatsonis, D, van Pampus, M, Porath, M, Rombout-de Weerd, S, van Roosmalen, JJ, van der Salm, PCM, Scheepers, HCJ, Sikkema, MJ, Sporken, J, Stigter, RH, van Wijngaarden, WJ, Woiski, M, Mol, BWJ, Bloemenkamp, KWM & The PROBAAT-S project group 2019, 'Balloon catheter for induction of labor in women with one previous cesarean and an unfavorable cervix' Acta Obstetricia et Gynecologica Scandinavica, vol. 98, no. 7, pp. 920-928. https://doi.org/10.1111/aogs.13558

Balloon catheter for induction of labor in women with one previous cesarean and an unfavorable cervix. / Huisman, Claartje M. A.; ten Eikelder, Mieke L. G.; Mast, Kelly; Oude Rengerink, Katrien; Jozwiak, Marta; van Dunné, Frédérique; Duvekot, Johannes J.; van Eyck, Jim; Gaugler-Senden, Ingrid; de Groot, Christianne J. M.; Franssen, Maureen T. M.; van Gemund, Nicolette; Langenveld, Josje; de Leeuw, Jan Willem; Oude Lohuis, Eefje J.; Oudijk, Martijn A.; Papatsonis, Dimitri; van Pampus, Mariëlle; Porath, Martina; Rombout-de Weerd, Sabina; van Roosmalen, Jos J.; van der Salm, Paulien C. M.; Scheepers, Hubertina C. J.; Sikkema, Marko J.; Sporken, Jan; Stigter, Rob H.; van Wijngaarden, Wim J.; Woiski, Mallory; Mol, Ben Willem J.; Bloemenkamp, Kitty W. M.; The PROBAAT-S project group.

In: Acta Obstetricia et Gynecologica Scandinavica, Vol. 98, No. 7, 2019, p. 920-928.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Balloon catheter for induction of labor in women with one previous cesarean and an unfavorable cervix

AU - Huisman, Claartje M. A.

AU - ten Eikelder, Mieke L. G.

AU - Mast, Kelly

AU - Oude Rengerink, Katrien

AU - Jozwiak, Marta

AU - van Dunné, Frédérique

AU - Duvekot, Johannes J.

AU - van Eyck, Jim

AU - Gaugler-Senden, Ingrid

AU - de Groot, Christianne J. M.

AU - Franssen, Maureen T. M.

AU - van Gemund, Nicolette

AU - Langenveld, Josje

AU - de Leeuw, Jan Willem

AU - Oude Lohuis, Eefje J.

AU - Oudijk, Martijn A.

AU - Papatsonis, Dimitri

AU - van Pampus, Mariëlle

AU - Porath, Martina

AU - Rombout-de Weerd, Sabina

AU - van Roosmalen, Jos J.

AU - van der Salm, Paulien C. M.

AU - Scheepers, Hubertina C. J.

AU - Sikkema, Marko J.

AU - Sporken, Jan

AU - Stigter, Rob H.

AU - van Wijngaarden, Wim J.

AU - Woiski, Mallory

AU - Mol, Ben Willem J.

AU - Bloemenkamp, Kitty W. M.

AU - The PROBAAT-S project group

PY - 2019

Y1 - 2019

N2 - 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 <7 at 5 minutes or umbilical pH <7.10) occurred in 57 (5.7%) and 10 (3.2%) neonates, respectively (aOR 1.40, 95% CI 0.87-3.48). Women who were induced had a shorter postpartum admission time (2.0 vs 3.0 days (P < 0.0001)). Conclusions: In women with a previous cesarean section and a need for delivery, induction of labor with a balloon catheter does not result in a significant increase in adverse maternal and neonatal outcomes as compared with planned cesarean section.

AB - 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 <7 at 5 minutes or umbilical pH <7.10) occurred in 57 (5.7%) and 10 (3.2%) neonates, respectively (aOR 1.40, 95% CI 0.87-3.48). Women who were induced had a shorter postpartum admission time (2.0 vs 3.0 days (P < 0.0001)). Conclusions: In women with a previous cesarean section and a need for delivery, induction of labor with a balloon catheter does not result in a significant increase in adverse maternal and neonatal outcomes as compared with planned cesarean section.

UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85062725846&origin=inward

UR - https://www.ncbi.nlm.nih.gov/pubmed/30723900

U2 - 10.1111/aogs.13558

DO - 10.1111/aogs.13558

M3 - Article

VL - 98

SP - 920

EP - 928

JO - Acta Obstetricia et Gynecologica Scandinavica

JF - Acta Obstetricia et Gynecologica Scandinavica

SN - 0001-6349

IS - 7

ER -