Cervical maturation in breech presentation: Mechanical versus prostaglandin methods.

Khobzaoui, M.; Ghesquiere, L.; Drumez, Elodie; Debarge, Veronique; Subtil, Damien; Garabedian, Charles

Document type :

Article dans une revue scientifique: Article original

DOI :

10.1016/j.jogoh.2022.102404

PMID :

35526819

Permalink :

http://hdl.handle.net/20.500.12210/90093

Title :

Cervical maturation in breech presentation: Mechanical versus prostaglandin methods.

Author(s) :

Khobzaoui, M. [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Ghesquiere, L. [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Drumez, Elodie [Auteur]

METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Debarge, Veronique [Auteur]

METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Subtil, Damien [Auteur]

METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Garabedian, Charles [Auteur]

METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]

Journal title :

Journal of Gynecology Obstetrics and Human Reproduction

Abbreviated title :

J Gynecol Obstet Hum Reprod

Pages :

102404

Publication date :

2022-05-10

ISSN :

2468-7847

English keyword(s) :

Breech
Induction
Prostaglandins
Mechanical
Cesarean

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

Objective Breech presentation at term accounts for around 5% of births. Few studies have evaluated the effectiveness of different induction methods for breech presentations. We aim to compare the mode of delivery after ...
Show more >Objective Breech presentation at term accounts for around 5% of births. Few studies have evaluated the effectiveness of different induction methods for breech presentations. We aim to compare the mode of delivery after induction by intra cervical dilatation balloon compared to prostaglandin (PGE2) in breech presentation. We also evaluated the risk factors associated with a failure of induction. Methods Single-center retrospective study from January 2000 to December 2020 including all women induced from 36 weeks, breech presentation, with a single pregnancy without contraindication to vaginal delivery and with an unfavorable cervix (Bishop<6). The primary endpoint was the mode of delivery. Failure of induction was defined as the need of a cesarean section. Results One hundred seventy six patients were included, 96 in the balloon group and 80 in the prostaglandin group. The cesarean section rate in the balloon group was not significantly different from the prostaglandin group (34.4% vs. 26.3%, p= 0.24). Fifty percent of the patients in the balloon group required additional maturation with prostaglandins after the balloon was dropped or removed. In our overall population, the factors associated with induction failure were nulliparity (OR= 3.144; CI95%: (1.496-6.661)) and BMI > 30 kg/m2 (OR= 3.15 CI95%: (1,374 - 7,224)). Conclusion Mode of delivery after mechanical methods in breech delivery induction appears similar to prostaglandins. However, it should be noted that in half of the cases, additional maturation with prostaglandin was necessary, calling into question the value of the mechanical methods. Factors associated with cesarean were maternal characteristics (nulliparity and BMI > 30 kg/m2) but not induction method.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

Université de Lille
CHU Lille

Collections :

METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Submission date :

2023-11-15T04:12:35Z
2024-01-11T12:28:55Z

Version	Link	Modification date
2	20.500.12210/90093*	2024-01-11T12:26:34Z
1	20.500.12210/90093.1	2023-11-15T04:12:35Z

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