title: [Cervical ripening: is there an advantage for a double-balloon device in labor induction?].
abstract: OBJECTIVE
  To compare efficiency of a double-balloon to vaginal prostaglandins for cervical ripening in patients with unfavourable cervix.
  
  
  METHODS
  Fifty patients induced with a double-balloon were compared to 50 patients receiving vaginal prostaglandins. Matching criteria were age, parity, history of uterine scar, gestational age and Bishop score. The primary outcome was failure induction. Secondary outcomes included improvement in Bishop score, ripening-to-delivery interval, caesarean section rate, maternal and neonatal morbidity.
  
  
  RESULTS
  Risk of failed induction (16% in the double-balloon group vs. 14% in the prostaglandins group) and caesarean section rate (28% vs. 36%) were similar in the two groups. The proportion of favourable cervix and the time to obtain a better Bishop score were similar with the two methods. Maximal pain score during cervical ripening was significantly lower in the double-balloon group (P<0.001). Ripening-to-delivery interval (30.4 h ± 15.6h vs. 28.9 h ± 20.5h) was not different between the two groups. There was no difference about maternal and neonatal outcomes.
  
  
  CONCLUSIONS
  The double-balloon was as efficient as vaginal prostaglandins. The ripening-to-delivery interval was not different between the two groups. The main advantage of this device could be a better tolerance favourishing patient satisfaction.
authors.affiliation: Clinique d'obstétrique, hôpital Jeanne-de-Flandre, CHRU de Lille, 2, rue Eugène-Avinée, 59037 Lille cedex, France.
authors.forename: C
authors.initials: C
authors.lastname: Boyon
authors.affiliation: Clinique d'obstétrique, hôpital Jeanne-de-Flandre, CHRU de Lille, 2, rue Eugène-Avinée, 59037 Lille cedex, France.
authors.forename: N
authors.initials: N
authors.lastname: Monsarrat
authors.affiliation: Clinique d'obstétrique, hôpital Jeanne-de-Flandre, CHRU de Lille, 2, rue Eugène-Avinée, 59037 Lille cedex, France.
authors.forename: E
authors.initials: E
authors.lastname: Clouqueur
authors.affiliation: Clinique d'obstétrique, hôpital Jeanne-de-Flandre, CHRU de Lille, 2, rue Eugène-Avinée, 59037 Lille cedex, France; EA 4489, environnement périnatal et croissance, faculté de médecine Henri-Warembourg, université Lille 2, 59045 Lille cedex, France. Electronic address: philippe.deruelle@univ-lille2.fr.
authors.forename: P
authors.initials: P
authors.lastname: Deruelle
mesh_terms: D000282:Administration, Intravaginal; D000328:Adult; D020070:Cervical Ripening / Q000502:physiology*; D002585:Cesarean Section / Q000706:statistics & numerical data; D005260:Female; D005865:Gestational Age; D006801:Humans; D007751:Labor, Induced / Q000295:instrumentation* / Q000379:methods*; D010147:Pain Measurement; D017060:Patient Satisfaction; D011247:Pregnancy; D011453:Prostaglandins / Q000008:administration & dosage; D016896:Treatment Outcome
chemical_list: D011453:Prostaglandins
keywords: Caesarean section; Cervical ripening; Césarienne; Double ballonnet; Double-balloon; Déclenchement artificiel du travail; Induction mécanique; Labor induction; Maturation cervicale; Mechanical methods