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Induction of labour using prostaglandin E2 as an inpatient vs balloon catheter as an outpatient: A multi-centre randomised controlled trial

BJOG: An International Journal of Obstetrics and Gynaecology Dec 14, 2019

Beckmann M, et al. - Researchers conducted this randomised controlled trial to compare clinical results following induction of labour (IOL) using a balloon catheter and going home, vs prostaglandin (PG) as an inpatient. Three hundred forty-seven women were randomised to a balloon outpatient and 348 to a PG inpatient group between September 2015 and October 2018. PG group took Dinoprostone, either 2mg gel or 10mg controlled-release tape. No statistically significant differences were found in the primary outcome contrasting balloon with PG, cord arterial pH < 7.10, nursery admissions, neonatal antibiotic use, or mode of birth. Among nulliparous women, balloon catheters may be a superior method of cervical priming, whereas for parous women this may not be the case. After starting balloon catheter IOL, it is feasible for nulliparous women to go home and the likelihood of adverse outcomes is low.
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