Journals / Gülhane Tıp Dergisi / 2020 / Cilt: 62 - Sayı: 1

The effect of maternal obesity on the success of labor induction with a cervical ripening double-balloon catheter and on pain perception during catheter insertion

Pages
1–7
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Parity and Bishop scores were the factors influencing labor induction success.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: To evaluate the effect of maternal body mass index (BMI) on the success of labor induction with a cervical ripening double-balloon catheter and maternal pain perception during the catheter insertion process.
📊
Key Findings & Data:Methods: This observational study included 103 women with singleton pregnancies, who underwent labor induction with a double-balloon catheter at ≥39 weeks of gestation for obstetric indications.
💡
Conclusion & Impact:Parity and Bishop scores were the factors influencing labor induction success.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Aim: To evaluate the effect of maternal body mass index (BMI) on the success of labor induction with a cervical ripening double-balloon catheter and maternal pain perception during the catheter insertion process. Methods: This observational study included 103 women with singleton pregnancies, who underwent labor induction with a double-balloon catheter at ≥39 weeks of gestation for obstetric indications. The study population was divided into two groups according to the BMI (group 1 0.05). The cesarean delivery rate was 19.6% in multiparous women and 57.4% in nulliparous women (p<0.001). The median Bishop scores upon admission and at the time of balloon expulsion were higher in women who delivered vaginally than in those who underwent cesarean sections [4 (1-5) vs. 2 (1-5) and 7 (4- 11) vs. 6 (2-8), respectively, p<0.001]. The VAS scores recorded during double-balloon catheter insertion (4.8±2.9 vs. 4.6±2, p=0.772) were also similar in both groups. Conclusion: Maternal BMI did not affect the success of labor induction with a cervical ripening double-balloon catheter. Parity and Bishop scores were the factors influencing labor induction success.

🔖

Cite This Article

KINAY, T., DİLBAZ, B., ÖZELÇİ, R., KAHYAOĞLU, İ., TEKİN, Ö. M. (2020). The effect of maternal obesity on the success of labor induction with a cervical ripening double-balloon catheter and on pain perception during catheter insertion. Gülhane Tıp Dergisi, Cilt: 62 - Sayı: 1, 1–7. https://ajindex.com/articles/157165

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Ng M, Fleming T, Robinson M, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384:766-781
  2. Yu CK, Teoh TG, Robinson S. Obesity in pregnancy. BJOG. 2006;113:1117-1125
  3. Farah N, Maher N, Barry S, Kennelly M, Stuart B, Turner MJ. Maternal morbid obesity and obstetric outcomes. Obes Facts. 2009;2:352-354
  4. Vahratian A, Zhang J, Troendle JF, Savitz DA, Siega-Riz AM. Maternal prepregnancy overweight and obesity and the pattern of labor progression in term nulliparous women. Obstet Gynecol. 2004;104:943-951
  5. Nuthalapaty FS, Rouse DJ, Owen J. The association of maternal weight with cesarean risk, labor duration, and cervical dilation rate during labor induction. Obstet Gynecol. 2004;103:452-456
  6. Chu SY, Kim SY, Schmid CH, Dietz PM, Callaghan WM, Lau J, Curtis KM. Maternal obesity and risk of cesarean delivery: a meta-analysis. Obes Rev. 2007;8:385-394
  7. Wolfe KB, Rossi RA, Warshak CR. The effect of maternal obesity on the rate of failed induction of labor. Am J Obstet Gynecol. 2011;205:128
  8. Muto H, Ishii K, Nakano T, Hayashi S, Okamoto Y, Mitsuda N. Rate of intrapartum cesarean section and related factors in older nulliparous women at term. J Obstet Gynaecol Res. 2018;44:217-222
  9. O’Dwyer V, Farah N, Fattah C, O’Connor N, Kennelly MM, Turner MJ. The risk of caesarean section in obese women analysed by parity. Eur J Obstet Gynecol Reprod Biol. 2011;158:28-32
  10. Vrouenraets FP, Roumen FJ, Dehing CJ, van den Akker ES, Aarts MJ, Scheve EJ. Bishop score and risk of cesarean delivery after induction of labor in nulliparous women. Obstet Gynecol. 2005;105:690-697. 11. van der Ven AJ, van Os MA, Kleinrouweler CE, et al. Midpregnancy Cervical Length in Nulliparous Women and its Association with Postterm Delivery and Intrapartum Cesarean Delivery. Am J Perinatol. 2016;33:40-46
  11. Seyb ST, Berka RJ, Socol ML, Dooley SL. Risk of cesarean delivery with elective induction of labor at term in nulliparous women. Obstet Gynecol. 1999;94:600-607
  12. Jozwiak M, Oude Rengerink K, Benthem M, et al. Foley catheter versus vaginal prostaglandin E2 gel for induction of labour at term (PROBAAT trial): an open-label, randomised controlled trial. Lancet. 2011;378:2095-2103
  13. Cromi A, Ghezzi F, Uccella S, Agosti M, Serati M, Marchitelli G, Bolis P. A randomized trial of preinduction cervical ripening: dinoprostone va