000060981 001__ 60981
000060981 005__ 20190709135534.0
000060981 0247_ $$2doi$$a10.1007/s00404-017-4343-7
000060981 0248_ $$2sideral$$a98474
000060981 037__ $$aART-2017-98474
000060981 041__ $$aeng
000060981 100__ $$0(orcid)0000-0002-8218-1460$$ade Bonrostro Torralba, C.
000060981 245__ $$aDouble-balloon catheter for induction of labour in women with a previous cesarean section, could it be the best choice?
000060981 260__ $$c2017
000060981 5060_ $$aAccess copy available to the general public$$fUnrestricted
000060981 5203_ $$aIntroduction: We analysed the efficacy and safety of double-balloon catheter for cervical ripening in women with a previous cesarean section and which were the most important variables associated with an increased risk of repeated cesarean delivery. Materials and methods: We designed an observational retrospective study of 418 women with unfavourable cervices (Bishop Score <5), a prior cesarean delivery, and induction of labour with a double-balloon catheter. Baseline maternal data and perinatal outcomes were recorded for a descriptive, bivariate, and multivariate analysis. A p value <0.05 was considered statistically significant. Results: Most women improved their initial Bishop Score (89.5%) although only a 20.8% of them went into spontaneous active labour. Finally, 51.4% of the women achieved a vaginal delivery. Five cases of intrapartum uterine rupture (1.2%) occurred. After multivariate analysis, main risk factors for repeated cesarean section were dystocia in the previous pregnancy (OR 1.744; CI 95% 1.066–2.846), the absence of previous vaginal delivery (OR 2.590; CI 95% 1.066–6.290), suspected fetal macrosomia (OR 2.410; CI 95% 0.959–6.054), and duration of oxytocin induction period (OR 1.005; CI 95% 1.004–1.006). The area under the curve was 0.789 (p < 0.001). Conclusions: Double-balloon catheter seems to be safe and effective for cervical ripening in women with a previous cesarean delivery and unfavourable cervix. In our study, most women could have a vaginal delivery in spite of their risk factors for cesarean delivery. A multivariate model based on some clinical variables has moderate predictive value for intrapartum cesarean section.
000060981 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000060981 590__ $$a2.236$$b2017
000060981 591__ $$aOBSTETRICS & GYNECOLOGY$$b34 / 81 = 0.42$$c2017$$dQ2$$eT2
000060981 592__ $$a0.956$$b2017
000060981 593__ $$aMedicine (miscellaneous)$$c2017$$dQ1
000060981 593__ $$aObstetrics and Gynecology$$c2017$$dQ2
000060981 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000060981 700__ $$aTejero Cabrejas, E. L.
000060981 700__ $$aMarti Gamboa, S.
000060981 700__ $$aLapresta Moros, M.
000060981 700__ $$aCampillos Maza, J. M.
000060981 700__ $$0(orcid)0000-0002-9048-121X$$aCastán Mateo, S.$$uUniversidad de Zaragoza
000060981 7102_ $$11004$$2645$$aUniversidad de Zaragoza$$bDpto. Cirugía,Ginecol.Obstetr.$$cÁrea Obstetricia y Ginecología
000060981 773__ $$g295, 5 (2017), 1135-1143$$pArch. gynecol. obstet.$$tARCHIVES OF GYNECOLOGY AND OBSTETRICS$$x0932-0067
000060981 8564_ $$s726856$$uhttp://zaguan.unizar.es/record/60981/files/texto_completo.pdf$$yVersión publicada
000060981 8564_ $$s92222$$uhttp://zaguan.unizar.es/record/60981/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000060981 909CO $$ooai:zaguan.unizar.es:60981$$particulos$$pdriver
000060981 951__ $$a2019-07-09-12:03:42
000060981 980__ $$aARTICLE