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Master Thesis

Double ballonnet versus prostaglandines vaginales : comparaison de deux méthodes de maturation cervicale à la maternité d’Albertville

Abstract : Objectives - The main objective of this study was to examine the mode of delivery of cervical ripening by double-balloon or Propess®. The second objective was to observe the impact of these two methods on ripening-to-delivery interval, postpartum haemorrhage, and neonatal state. Materials and methods - We realized a descriptive, retrospective, monocentric study at the Albertville maternity ward from January 1st, 2016 to August 31st, 2017. The selected patients had received medical advice for cervical ripening. They were included in the Propess® group or in the double-balloon group depending on the method used. Inclusion criteria were a Bishop score of 6 or less on admission, cephalic presentation and a gestation age of 37 weeks or more. The primary outcome was delivery mode. Secondary outcome included ripening-to-delivery interval, administration of oxytocin, postpartum haemorrhage, and neonatal state. Results - In total, 65 patients were included in the double-balloon group and 70 in the prostaglandin group. We didn’t identify a significant difference in delivery mode (55,4% vaginal delivery in the double-balloon group vs 50% in the prostaglandins group). There was no difference between the two groups on the ripening-to-delivery interval (23,7 hours vs 19,7 hours) and the postpartum haemorrhage (4,3% vs 4,6%). More patients int the double-balloon group required oxytocin administration (p<0,0001). Neonatal state was similar between the groups. Conclusion – In our study, the double-balloon was as efficient as vaginal prostaglandins. By its mechanical action, it is particularly interesting for patients with a uterine scar. As a result, mechanical methods are a promising alternative for cervical ripening.
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Submitted on : Wednesday, September 26, 2018 - 4:11:01 PM
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Fanny Furin. Double ballonnet versus prostaglandines vaginales : comparaison de deux méthodes de maturation cervicale à la maternité d’Albertville. Gynécologie et obstétrique. 2018. ⟨dumas-01882161⟩

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