Women after induction of labor with a dinoprostone insert will be evaluated after 24 hours from the beginning of labor induction. Women with a BISHOP score of less than 5 will be randomized to 1 of 2 groups. Induction with a cervical ripening balloon versus induction with a 2nd dinoprostone insert.
Nulliparous women with obstetric indications for induction of labor who were induced with a dinoprostone insert and failed to go into labor after 24 hours from the beginning of labor induction and a BISHOP score of less than 5 will receive a thorough explanation regarding the study and sign informed consent. The eligible women will be randomized to 1 of 2 groups. Induction with a cervical ripening balloon versus induction with a 2nd dinoprostone insert. Relevant demographic and medical information will be gathered from the patients' electronic files.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
144
Dinoprostone vaginal insert.
Double lumen cervical ripening balloon.
Rambam health care campus
Haifa, Israel
Delivery within 24 hours.
Rate of delivery in 24 hours.
Time frame: From the time of induction up to 24 hours from induction.
Time to delivery.
The number of hours it takes to deliver.
Time frame: From the time of induction up to 120 hours from induction.
Mode of delivery.
Vaginal and cesarean delivery rates.
Time frame: From the time of induction up to 120 hours from induction.
Uterine revision.
The rate of uterine revision postpartum.
Time frame: From the time of induction up to 120 hours from induction.
Postpartum hemorrhage.
The rate of postpartum hemorrhage.
Time frame: From the time of induction up to 120 hours from induction.
Chorioamnionitis.
The rate of chorioamnionitis.
Time frame: From the time of induction up to 120 hours from induction.
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