Six vs twelve hours of single balloon catheter placement with oxytocin administration for labor induction: A randomized controlled trial
American Journal of Obstetrics and Gynecology Mar 26, 2021
Lassey SC, Haber HR, Kanbergs A, et al. - In the United States, induction of labor is very common. Researchers here examined if single balloon catheter and oxytocin with planned removal at 6 vs 12 hours can aid in shortening time to delivery in women who undergo labor induction. In this randomized controlled trial, term women undergoing induction of labor with a Bishop score less than six and cervical dilation less than 2 cm were included and labor induction was performed among them using a combination single balloon catheter and oxytocin. They randomized women to planned removal of the single balloon catheter at 6 compared with 12 hours. Of 237 screened women, 178 were randomized; the final analysis was performed including 177 women (89 in the 6-hour group, 88 in the 12-hour group). Outcomes revealed a shorter time from insertion to delivery in correlation with labor induction with a single balloon catheter and oxytocin with planned removal at 6 rather than 12 hours; this was observed with no increase in cesarean delivery. Clinical protocols should consider reduction in the length of time a single balloon catheter is in place.
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