Pre induction of delivery work by cervical maturation with double intracervical balloon a transversal study of 1576 deliveries

Abstract

Objective: To describe the results of preinduction of labor by cervical ripening with a double intra-cervical balloon at the Centre Hospitalier de l'Agglomération de Nevers (France). Material and method: This was a retrospective descriptive and analytical cross-sectional study from January 01, 2022 to June 30, 2023 (18 months). The study population was all patients who delivered at the Centre Hospitalier de Nevers during the study period. Patients included in the study were those who received a double intra-cervical balloon. Patients who received only other methods of cervical ripening were not included in the study. Results: The frequency of use was 4.25% of deliveries. The mean gestational age was 39 SA, most often for gestational diabetes (20.9%). In multiparous women, labor was induced only after use of the double intracervical balloon (81.82%; p=0.03).  In 58.14% of cases, labor was induced within < 12 hours (p=0.01).  Conclusion: The double balloon is an effective method for inducing labor with vaginal delivery. It should be 
encouraged, particularly in multiparous women who are more exposed to the deleterious effects of cervical ripening by pharmacological methods.