Extended balloon labour induction: A single arm proof of concept trial

CONCLUSION: This proof-of-concept study suggests that use of side-by-side balloons in participants with favourable cervix is effective in achieving vaginal birth in most participants without uterotonics or amniotomy. There were no adverse outcomes, though the study was too small to exclude the possibility of rare adverse outcomes. This offers a novel option for labour induction/augmentation, particularly where uterotonics or amniotomy are best avoided such as prior caesarean birth, vertical infection transmission risk and in settings with limited capacity for fetal surveillance. The results clearly justify larger randomized trials to evaluate this novel approach with greater precision. On the basis of the current study we are developing a purpose-designed balloon for extended balloon labour induction.PMID:37649714 | PMC:PMC10462842 | DOI:10.1016/j.eurox.2023.100226
Source: Reproductive Biology - Category: Reproduction Medicine Authors: Source Type: research