Six vs 12-hour balloon catheter placement for the induction of labor: a systematic review and meta-analysis of randomized controlled trials
Balloon catheters have shown promising results in the induction of labor (IOL); however, evidence regarding the optimal time of balloon catheter placement is still lacking. Thus, this study aims to evaluate the efficacy and safety of 6-hour placement compared to 12 hours. We conducted a comprehensiv...
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| Veröffentlicht in: | American journal of obstetrics & gynecology MFM 2024-11, Vol.6 (11), p.101474, Article 101474 |
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| creator | Rashid, Attyia Imran, Muhammad Ali, Shujaat Mehmood, Areeba Mariam Khalil, Saba Farooq, Dawood Azam Kamran, Ateeba Zamir, Shamaila Khan, Ubaid Abuelazm, Mohamed |
| description | Balloon catheters have shown promising results in the induction of labor (IOL); however, evidence regarding the optimal time of balloon catheter placement is still lacking. Thus, this study aims to evaluate the efficacy and safety of 6-hour placement compared to 12 hours.
We conducted a comprehensive search through a search strategy across “Embase, SCOPUS, PubMed (via MEDLINE), and Cochrane Central Register of Controlled Trials (CENTRAL)” from inception until April 20, 2024.
We included the randomized controlled trials (RCTs) evaluating the efficacy and safety of 6-hour balloon catheter placement compared with 12 hours for cervical ripening in IOL. Covidence was used to screen eligible articles.
All relevant outcome data were synthesized using risk ratios (RR) or mean differences (MD) with 95% confidence intervals (CIs) in meta-analysis models within RevMan 5.4. PROSPERO ID: CRD42024540935.
We included five RCTs with 960 women undergoing the IOL with balloon catheter placement. Six-hour placement was associated with significant lower insertion to overall delivery interval (MD: –4.25, 95% CI [–5.34, –3.15], P |
| doi_str_mv | 10.1016/j.ajogmf.2024.101474 |
| format | Article |
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We conducted a comprehensive search through a search strategy across “Embase, SCOPUS, PubMed (via MEDLINE), and Cochrane Central Register of Controlled Trials (CENTRAL)” from inception until April 20, 2024.
We included the randomized controlled trials (RCTs) evaluating the efficacy and safety of 6-hour balloon catheter placement compared with 12 hours for cervical ripening in IOL. Covidence was used to screen eligible articles.
All relevant outcome data were synthesized using risk ratios (RR) or mean differences (MD) with 95% confidence intervals (CIs) in meta-analysis models within RevMan 5.4. PROSPERO ID: CRD42024540935.
We included five RCTs with 960 women undergoing the IOL with balloon catheter placement. Six-hour placement was associated with significant lower insertion to overall delivery interval (MD: –4.25, 95% CI [–5.34, –3.15], P<.00001) and insertion to vaginal delivery interval (MD: –4.65, 95% CI [–6.08, –3.23], P<0.00001) without significant difference in BISHOP score change (MD: –0.02, 95% CI [–0.23, 0.20], P=.88), catheter removal to delivery interval (MD: 0.72, 95% CI [–0.39, 1.83], P=.20) and total duration of oxytocin infusion (MD: –0.36, 95% CI [–0.85, 0.14], P=.16) compared to 12 hours. Also, significantly lower overall cesarean delivery (CD) rate (RR: 0.81, 95% CI [0.68, 0.96], P=.01) and CD due to malpresentation (RR: 0.39, 95% CI [0.16, 0.93], P=.03) were observed with 6-hour placement.
A planned 6-hour balloon catheter placement reduced insertion to delivery intervals and CD rate and has equal efficacy in BISHOP score change and catheter removal to delivery interval compared to 12 hours.</description><identifier>ISSN: 2589-9333</identifier><identifier>EISSN: 2589-9333</identifier><identifier>DOI: 10.1016/j.ajogmf.2024.101474</identifier><identifier>PMID: 39222844</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>balloon catheter ; cervical ripening ; IOL ; labor induction ; meta-analysis ; systematic review</subject><ispartof>American journal of obstetrics & gynecology MFM, 2024-11, Vol.6 (11), p.101474, Article 101474</ispartof><rights>2024 Elsevier Inc.</rights><rights>Copyright © 2024 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c241t-295ac22459d352a505341bc35928f0c8aa34fc9f9883adf01f4f300ab5a0aea33</cites><orcidid>0009-0004-2626-9718</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39222844$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rashid, Attyia</creatorcontrib><creatorcontrib>Imran, Muhammad</creatorcontrib><creatorcontrib>Ali, Shujaat</creatorcontrib><creatorcontrib>Mehmood, Areeba Mariam</creatorcontrib><creatorcontrib>Khalil, Saba</creatorcontrib><creatorcontrib>Farooq, Dawood Azam</creatorcontrib><creatorcontrib>Kamran, Ateeba</creatorcontrib><creatorcontrib>Zamir, Shamaila</creatorcontrib><creatorcontrib>Khan, Ubaid</creatorcontrib><creatorcontrib>Abuelazm, Mohamed</creatorcontrib><title>Six vs 12-hour balloon catheter placement for the induction of labor: a systematic review and meta-analysis of randomized controlled trials</title><title>American journal of obstetrics & gynecology MFM</title><addtitle>Am J Obstet Gynecol MFM</addtitle><description>Balloon catheters have shown promising results in the induction of labor (IOL); however, evidence regarding the optimal time of balloon catheter placement is still lacking. Thus, this study aims to evaluate the efficacy and safety of 6-hour placement compared to 12 hours.
We conducted a comprehensive search through a search strategy across “Embase, SCOPUS, PubMed (via MEDLINE), and Cochrane Central Register of Controlled Trials (CENTRAL)” from inception until April 20, 2024.
We included the randomized controlled trials (RCTs) evaluating the efficacy and safety of 6-hour balloon catheter placement compared with 12 hours for cervical ripening in IOL. Covidence was used to screen eligible articles.
All relevant outcome data were synthesized using risk ratios (RR) or mean differences (MD) with 95% confidence intervals (CIs) in meta-analysis models within RevMan 5.4. PROSPERO ID: CRD42024540935.
We included five RCTs with 960 women undergoing the IOL with balloon catheter placement. Six-hour placement was associated with significant lower insertion to overall delivery interval (MD: –4.25, 95% CI [–5.34, –3.15], P<.00001) and insertion to vaginal delivery interval (MD: –4.65, 95% CI [–6.08, –3.23], P<0.00001) without significant difference in BISHOP score change (MD: –0.02, 95% CI [–0.23, 0.20], P=.88), catheter removal to delivery interval (MD: 0.72, 95% CI [–0.39, 1.83], P=.20) and total duration of oxytocin infusion (MD: –0.36, 95% CI [–0.85, 0.14], P=.16) compared to 12 hours. Also, significantly lower overall cesarean delivery (CD) rate (RR: 0.81, 95% CI [0.68, 0.96], P=.01) and CD due to malpresentation (RR: 0.39, 95% CI [0.16, 0.93], P=.03) were observed with 6-hour placement.
A planned 6-hour balloon catheter placement reduced insertion to delivery intervals and CD rate and has equal efficacy in BISHOP score change and catheter removal to delivery interval compared to 12 hours.</description><subject>balloon catheter</subject><subject>cervical ripening</subject><subject>IOL</subject><subject>labor induction</subject><subject>meta-analysis</subject><subject>systematic review</subject><issn>2589-9333</issn><issn>2589-9333</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kctOHDEQRa0IFBDwB1HkZTY98ZPpZhEJIfKQkLIIWVvV7nLwyN0ebDdk8gv5aTxqErFiVaWrU1Wqewl5x9mKM37-cbOCTfw1upVgQu0ltVZvyLHQbdd0UsqDF_0ROct5wxgTXCktzt-SI9kJIVqljsnfH_43fciUi-Yuzon2EEKME7VQ7rBgotsAFkecCnUx0SpSPw2zLb5C0dEAfUwXFGje5YIjFG9pwgePjxSmgY5YoIEJwi77vOdTVePo_-BAbZxKiiHUtiQPIZ-SQ1cLnj3XE_Lz8_Xt1dfm5vuXb1eXN40VipdGdBqsEEp3g9QCNNNS8d5K3YnWMdsCSOVs57q2lTA4xp1ykjHoNTBAkPKEfFj2blO8nzEXM_psMQSYMM7ZSF69Wos1ExVVC2pTzDmhM9vkR0g7w5nZJ2E2ZknC7JMwSxJ17P3zhbkfcfg_9M_3CnxaAKx_VreSydbjZHHwCW0xQ_SvX3gCpXedHQ</recordid><startdate>202411</startdate><enddate>202411</enddate><creator>Rashid, Attyia</creator><creator>Imran, Muhammad</creator><creator>Ali, Shujaat</creator><creator>Mehmood, Areeba Mariam</creator><creator>Khalil, Saba</creator><creator>Farooq, Dawood Azam</creator><creator>Kamran, Ateeba</creator><creator>Zamir, Shamaila</creator><creator>Khan, Ubaid</creator><creator>Abuelazm, Mohamed</creator><general>Elsevier Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0009-0004-2626-9718</orcidid></search><sort><creationdate>202411</creationdate><title>Six vs 12-hour balloon catheter placement for the induction of labor: a systematic review and meta-analysis of randomized controlled trials</title><author>Rashid, Attyia ; Imran, Muhammad ; Ali, Shujaat ; Mehmood, Areeba Mariam ; Khalil, Saba ; Farooq, Dawood Azam ; Kamran, Ateeba ; Zamir, Shamaila ; Khan, Ubaid ; Abuelazm, Mohamed</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c241t-295ac22459d352a505341bc35928f0c8aa34fc9f9883adf01f4f300ab5a0aea33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>balloon catheter</topic><topic>cervical ripening</topic><topic>IOL</topic><topic>labor induction</topic><topic>meta-analysis</topic><topic>systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rashid, Attyia</creatorcontrib><creatorcontrib>Imran, Muhammad</creatorcontrib><creatorcontrib>Ali, Shujaat</creatorcontrib><creatorcontrib>Mehmood, Areeba Mariam</creatorcontrib><creatorcontrib>Khalil, Saba</creatorcontrib><creatorcontrib>Farooq, Dawood Azam</creatorcontrib><creatorcontrib>Kamran, Ateeba</creatorcontrib><creatorcontrib>Zamir, Shamaila</creatorcontrib><creatorcontrib>Khan, Ubaid</creatorcontrib><creatorcontrib>Abuelazm, Mohamed</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of obstetrics & gynecology MFM</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rashid, Attyia</au><au>Imran, Muhammad</au><au>Ali, Shujaat</au><au>Mehmood, Areeba Mariam</au><au>Khalil, Saba</au><au>Farooq, Dawood Azam</au><au>Kamran, Ateeba</au><au>Zamir, Shamaila</au><au>Khan, Ubaid</au><au>Abuelazm, Mohamed</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Six vs 12-hour balloon catheter placement for the induction of labor: a systematic review and meta-analysis of randomized controlled trials</atitle><jtitle>American journal of obstetrics & gynecology MFM</jtitle><addtitle>Am J Obstet Gynecol MFM</addtitle><date>2024-11</date><risdate>2024</risdate><volume>6</volume><issue>11</issue><spage>101474</spage><pages>101474-</pages><artnum>101474</artnum><issn>2589-9333</issn><eissn>2589-9333</eissn><abstract>Balloon catheters have shown promising results in the induction of labor (IOL); however, evidence regarding the optimal time of balloon catheter placement is still lacking. Thus, this study aims to evaluate the efficacy and safety of 6-hour placement compared to 12 hours.
We conducted a comprehensive search through a search strategy across “Embase, SCOPUS, PubMed (via MEDLINE), and Cochrane Central Register of Controlled Trials (CENTRAL)” from inception until April 20, 2024.
We included the randomized controlled trials (RCTs) evaluating the efficacy and safety of 6-hour balloon catheter placement compared with 12 hours for cervical ripening in IOL. Covidence was used to screen eligible articles.
All relevant outcome data were synthesized using risk ratios (RR) or mean differences (MD) with 95% confidence intervals (CIs) in meta-analysis models within RevMan 5.4. PROSPERO ID: CRD42024540935.
We included five RCTs with 960 women undergoing the IOL with balloon catheter placement. Six-hour placement was associated with significant lower insertion to overall delivery interval (MD: –4.25, 95% CI [–5.34, –3.15], P<.00001) and insertion to vaginal delivery interval (MD: –4.65, 95% CI [–6.08, –3.23], P<0.00001) without significant difference in BISHOP score change (MD: –0.02, 95% CI [–0.23, 0.20], P=.88), catheter removal to delivery interval (MD: 0.72, 95% CI [–0.39, 1.83], P=.20) and total duration of oxytocin infusion (MD: –0.36, 95% CI [–0.85, 0.14], P=.16) compared to 12 hours. Also, significantly lower overall cesarean delivery (CD) rate (RR: 0.81, 95% CI [0.68, 0.96], P=.01) and CD due to malpresentation (RR: 0.39, 95% CI [0.16, 0.93], P=.03) were observed with 6-hour placement.
A planned 6-hour balloon catheter placement reduced insertion to delivery intervals and CD rate and has equal efficacy in BISHOP score change and catheter removal to delivery interval compared to 12 hours.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>39222844</pmid><doi>10.1016/j.ajogmf.2024.101474</doi><orcidid>https://orcid.org/0009-0004-2626-9718</orcidid></addata></record> |
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| issn | 2589-9333 2589-9333 |
| language | eng |
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| source | Alma/SFX Local Collection |
| subjects | balloon catheter cervical ripening IOL labor induction meta-analysis systematic review |
| title | Six vs 12-hour balloon catheter placement for the induction of labor: a systematic review and meta-analysis of randomized controlled trials |
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