{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T17:05:37Z","timestamp":1772989537038,"version":"3.50.1"},"reference-count":15,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,3,13]],"date-time":"2024-03-13T00:00:00Z","timestamp":1710288000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2024,3,13]],"date-time":"2024-03-13T00:00:00Z","timestamp":1710288000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp;amp; Obste"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Recently, two randomized controlled trials compared removal of cervical ripening balloon (CRB) after 6 versus 12\u2009h. Their results showed similar Bishop score changes in both groups and a shorter time to delivery in the 6\u2010h group. Neither of the studies was powered to show difference in mode of delivery. The aim of this study was to compare mode of delivery when the CRB was removed after 6 versus 12\u2009h.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A historical control study comparing induction of labor with a CRB between two time periods, one in which the CRB was removed after 12\u2009h (12\u2010h group), and the other in which it was removed after 6\u2009h (6\u2010h group). We included term pregnancies with a singleton fetus in vertex presentation. We excluded patients with a previous cesarean delivery, failed ripening with prostaglandins prior to CRB insertion, and any contraindication for vaginal delivery. The primary outcome was mode of delivery. Secondary outcomes included delivery within 24\u2009h and other maternal and neonatal outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We included 1704 patients, 914 in the 12\u2010h group, and 717 in the 6\u2010h group. Removal after 6\u2009h was associated with a lower rate of cesarean and instrumental deliveries (28.6% vs 22.5%, and 12% vs 6.2%, respectively) and a higher rate of vaginal delivery within 24\u2009h. All differences were statistically significant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Removing a cervical ripening balloon after 6 rather than 12\u2009h is associated with reduced cesarean and instrumental delivery rates, and should be considered as a reasonable, and potentially superior alternative in labor induction protocols with intracervical ripening balloon.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.15466","type":"journal-article","created":{"date-parts":[[2024,3,13]],"date-time":"2024-03-13T09:08:55Z","timestamp":1710320935000},"page":"886-890","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Time matters: Cervical ripening balloon for 6 versus 12\u2009h\u2014Retrospective comparison between two protocols"],"prefix":"10.1002","volume":"166","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0488-730X","authenticated-orcid":false,"given":"Inna","family":"Bleicher","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Bnai\u2010Zion Medical Center  Haifa Israel"},{"name":"The Ruth and Bruce Rappaport Faculty of Medicine Technion\u2010Israel Institute of Technology  Haifa Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michal","family":"Korobochka","sequence":"additional","affiliation":[{"name":"Riga Stradins University  Riga Latvia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shlomi","family":"Sagi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Bnai\u2010Zion Medical Center  Haifa Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rami","family":"Sammour","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Bnai\u2010Zion Medical Center  Haifa Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,3,13]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181b48ef5"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ogc.2017.08.011"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2015.12.043"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2010.11.029"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0136856"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2015.1067297"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2009.01.005"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajogmf.2020.100136"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41372-017-0005-7"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003804"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2021.03.021"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/EDE.0b013e3181577654"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1067\/s0002-9378(03)00767-1"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2008.05.005"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0002-9378(97)70007-3"}],"container-title":["International Journal of Gynecology &amp; 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