Abstract |
We searched Embase, PubMed and the Cochrane Library for randomized or quasi-randomized controlled trials to compare the use of single-balloon to double-balloon catheters. The risk ratio (RR) or mean difference (MD) with a 95% confidence interval (CI) was calculated using fixed-effects or random-effects models. Four studies involving a total of 793 pregnant women were included. There were no significant differences in the rate of cesarean (RR 1.09, 95% CI 0.86, 1.38; P = 0.48), or vaginal deliveries within 24 h (RR 0.94, 95% CI 0.82, 1.09; P = 0.42), the mean time to delivery (MD 0.39, 95% CI -0.90, 1.68 h; P = 0.55) or Bishop score improvement (MD 0.62, 95%CI -0.18, 1.42; P = 0.13) between the groups. Women who received the double-balloon catheter had a similar risk of maternal intrapartum fever and post-partum hemorrhage. Pain during ripening was only reported in one trial and was significantly higher with the double balloon, whereas pain during device insertion was measured in two trials: one reported no difference while the other reported significantly increased pain with the double balloon. The double-balloon and single-balloon (Foley) catheters had similar effectiveness and safety. The Foley catheter is significantly cheaper, widely available and accessible, has a longer history of use and remains the logical choice over the double-balloon catheter for cervical ripening.
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Authors | Fang Yang, Shijin Huang, Yu Long, Lingling Huang |
Journal | The journal of obstetrics and gynaecology research
(J Obstet Gynaecol Res)
Vol. 44
Issue 1
Pg. 27-34
(Jan 2018)
ISSN: 1447-0756 [Electronic] Australia |
PMID | 29271034
(Publication Type: Journal Article, Meta-Analysis, Review, Systematic Review)
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Copyright | © 2017 Japan Society of Obstetrics and Gynecology. |
Topics |
- Adult
- Catheters
(statistics & numerical data)
- Cervical Ripening
- Cesarean Section
(methods, statistics & numerical data)
- Female
- Humans
- Labor, Induced
(methods, statistics & numerical data)
- Obstetric Labor Complications
(therapy)
- Pregnancy
- Puerperal Disorders
(therapy)
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