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Women’s experience of induction of labor using PGE2 as an inpatient vs balloon catheter as an outpatient

European Journal of Obstetrics & Gynecology and Reproductive Biology Apr 09, 2020

Beckmann M, et al. - As outpatient cervical priming could be a safe and cost-effective alternative to induction of labor (IOL) that typically involves cervical priming in an inpatient setting, researchers here sought to inscribe women’s healthcare experiences following IOL using a balloon catheter and going home, vs prostaglandin (PG) and remaining an inpatient via performing a randomized controlled trial across eight Australian maternity hospitals. From September 2015 to October 2018, randomization of 695 women with uncomplicated term singleton pregnancies was done. Intervention allocation was done in 215 and 233 women in the balloon-outpatient and PG-inpatient groups, respectively. The PG group received Dinoprostone gel or controlled-release tape and the balloon group had insertion of a double-balloon catheter and went home. Questionnaire completed by 366 (81.7 %) women were available for obtaining data. Similar healthcare experiences were reported by women following balloon-outpatient vs PG-impatient IOL, but they are more likely to desire the same method next pregnancy if IOL is required. In case of availability of both options, differences in experience should be shared with women, in addition to, differences in clinical outcomes as part of their decision-making process. .

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