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

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.