Document Detail

Case series of labor induction in twin gestations with an Intrauterine Balloon catheter.
MedLine Citation:
PMID:  10352385     Owner:  NLM     Status:  MEDLINE    
The efficacy and safety of labor induction using an intrauterine balloon catheter in twin pregnancies has been evaluated. During the study period (1992-1997), labor was induced at 36-42 weeks in 17 twin gestations. Labor induction was indicated for preeclampsia (n = 10), birth weight discordance (n = 3), suspected fetal distress (n = 2) and postdates (n = 2). Twin A was in vertex presentation in all cases. An intrauterine balloon catheter was inserted transcervically followed by augmentation whenever required. Vaginal delivery was achieved in 15 (88.2%) patients. The mean interval from balloon insertion to delivery was 17.05 h, with 80% deliveries occurring within 24 h of catheter insertion and 80% occurring within 12 h of catheter expulsion. Birth weight was 2,514+/-244 and 2,421+/-367 g for twin A and B, respectively. Oxytocin was required in 4 patients. Postpartum hemorrhage was noted in 1 patient. One patient with no progress of labor and 1 with suspected intrapartum fetal distress required cesarean section. All neonates had a 5-min Apgar score of 10. The data suggest that an intrauterine balloon catheter appears to be safe and effective to induce labor in twin gestations.
M Manor; I Blickstein; A Ben-Arie; A Weissman; Z Hagay
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Gynecologic and obstetric investigation     Volume:  47     ISSN:  0378-7346     ISO Abbreviation:  Gynecol. Obstet. Invest.     Publication Date:  1999  
Date Detail:
Created Date:  1999-07-28     Completed Date:  1999-07-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7900587     Medline TA:  Gynecol Obstet Invest     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  244-6     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Kaplan Medical Center, Rehovot, Israel.
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MeSH Terms
Balloon Dilatation*
Birth Weight
Fetal Distress
Gestational Age
Labor Presentation
Labor, Induced / methods*
Pregnancy, Multiple
Prospective Studies
Time Factors

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