Balloon Catheter with Extra-amniotic Saline Instillation: a Method of Induction in Pregnancies at 41 or More Gestational Weeks

Authors

  • Gideon Fait MD,

    1. Department of Obstetrics and Gynecology “A ”, Serlin Maternity Hospital, Tel Aviv Sourasky Medical Center and Sackler Faculty of Medicine, Tel Aviv University, Israel
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  • Dan Grisaru MD,

    1. Department of Obstetrics and Gynecology “A ”, Serlin Maternity Hospital, Tel Aviv Sourasky Medical Center and Sackler Faculty of Medicine, Tel Aviv University, Israel
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  • Michael Shenhav MD,

    1. Department of Obstetrics and Gynecology “A ”, Serlin Maternity Hospital, Tel Aviv Sourasky Medical Center and Sackler Faculty of Medicine, Tel Aviv University, Israel
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  • Michael J. Kupfermine MD,

    1. Department of Obstetrics and Gynecology “A ”, Serlin Maternity Hospital, Tel Aviv Sourasky Medical Center and Sackler Faculty of Medicine, Tel Aviv University, Israel
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  • Joseph B. Lessing MD,

    1. Department of Obstetrics and Gynecology “A ”, Serlin Maternity Hospital, Tel Aviv Sourasky Medical Center and Sackler Faculty of Medicine, Tel Aviv University, Israel
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  • M. Reuben Peyser MD,

    1. Department of Obstetrics and Gynecology “A ”, Serlin Maternity Hospital, Tel Aviv Sourasky Medical Center and Sackler Faculty of Medicine, Tel Aviv University, Israel
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  • Ariel Jaffa MD

    Corresponding author
    1. Department of Obstetrics and Gynecology “A ”, Serlin Maternity Hospital, Tel Aviv Sourasky Medical Center and Sackler Faculty of Medicine, Tel Aviv University, Israel
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2 Department of Obstetrics and Gynecology “A”, Serlin Maternity Hospital. P.O. Box 7079. Tel Aviv 61070. Israel.

Abstract

Summary: One hundred five women with a documented pregnancy of 41 weeks' gestation or more, admitted for induction of labour by balloon catheter with extra-amniotic saline instillation, were retrospectively compared to 196 women admitted in spontaneous labour at the same gestational age, with regard to mode of delivery. The success rate of the induction group was 97.1%. The mode of delivery did not differ significantly between the 2 groups. The Caesarean section rates were 11.4% in the induction group versus 9.7% in the spontaneous group. The mode of delivery after induction of labour by balloon catheter with extra-amniotic saline instillation and simultaneously commenced intravenous oxytocin infusion, in pregnancies of 41 weeks or more, is similar to that of spontaneous deliveries at the same gestational age.

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