{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,21]],"date-time":"2026-06-21T04:39:59Z","timestamp":1782016799349,"version":"3.54.5"},"reference-count":15,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T00:00:00Z","timestamp":1729728000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T00:00:00Z","timestamp":1729728000000},"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; Obste"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine whether cervical ripening with a double balloon device for 6\u2009h is as effective as 12\u2009h in patients with a cervical length\u2009\u2265\u200930\u2009mm measured on transvaginal ultrasound before induction of labor, and to determine whether patients with a long cervix need to have the balloon placed for a longer time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This is a secondary analysis of data from a randomized controlled trial that compared maternal and neonatal outcomes between women undergoing cervical ripening with a double balloon device for 6\u2009h (study group) versus 12\u2009h (control group). In this secondary analysis, we included only patients who had cervical length\u2009\u2265\u200930\u2009mm measured on transvaginal ultrasound on admission. Our primary outcome was a Bishop score change after removal of the device. Secondary outcomes included insertion to delivery interval, mode of delivery, and oxytocin infusion duration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Sixty\u2010seven women met the inclusion criteria and were included in the analysis: 33 in the 6\u2010h group and 34 in the 12\u2010h group. Maternal characteristics were similar between both groups. Bishop score difference between the preinsertion and the postremoval scores were similar in the two groups (2.67\u2009\u00b1\u20091.8 vs. 2.53\u2009\u00b1\u20091.69,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.76), while insertion to delivery time was 10\u2009h shorter in the 6\u2010h group (20.95 vs. 31.21,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.02; mean difference, \u221210.26 [95% CI, \u221219.0 to \u22121.51]). The other secondary outcomes remained similar in both groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In women undergoing induction of labor who have a cervical length\u2009\u2265\u200930\u2009mm measured on admission transvaginal ultrasound, removing a double balloon device after 6\u2009h achieved similar Bishop score changes as removal after 12\u2009h, but significantly reduced the time to delivery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Registration at Clinical Trials<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/classic.clinicaltrials.gov\/ct2\/show\/NCT03045939\">https:\/\/classic.clinicaltrials.gov\/ct2\/show\/NCT03045939<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.15955","type":"journal-article","created":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T06:50:43Z","timestamp":1729752643000},"page":"1055-1059","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Cervical ripening with a double balloon device for 6\u2009h in patients with a long cervix: Secondary analysis of a randomized controlled trial"],"prefix":"10.1002","volume":"168","author":[{"given":"Rami","family":"Sammour","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Bnai\u2010Zion Medical Center Technion \u2013 Israel Institute of Technology  Haifa Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Dikopoltsev","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Bnai\u2010Zion Medical Center Technion \u2013 Israel Institute of Technology  Haifa Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shlomi","family":"Sagi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Bnai\u2010Zion Medical Center Technion \u2013 Israel Institute of Technology  Haifa Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dana","family":"Vitner","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Rambam Medical Center Technion \u2013 Israel Institute of Technology  Haifa Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inna","family":"Bleicher","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Bnai\u2010Zion Medical Center Technion \u2013 Israel Institute of Technology  Haifa Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,10,24]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181b48ef5"},{"issue":"10","key":"e_1_2_9_3_1","article-title":"Mechanical methods for induction of labour","volume":"10","author":"Vaan MD","year":"2019","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1967.tb03931.x"},{"key":"e_1_2_9_5_1","first-page":"10","article-title":"Balloon dilators for labor induction: a historical review","volume":"6","author":"Smith JA","year":"2013","journal-title":"J Med Ethics Hist Med"},{"issue":"1","key":"e_1_2_9_6_1","first-page":"146","article-title":"Nonpharmaceutical ripening of the unfavorable cervix and induction of labor by a novel double balloon device","volume":"77","author":"Atad J","year":"1991","journal-title":"Obstet Gynecol"},{"key":"e_1_2_9_7_1","unstructured":"Cook Medical.Cook cervical ripening balloon with adjustable stylet device description.https:\/\/www.cookmedi\u2010cal.com\/products\/wh_crbs_webds\/"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0136856"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1997.tb10644.x"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajogmf.2020.100136"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003804"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2021.03.021"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1675642"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2005.03.004"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/0090-6980(83)90121-1"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003081-199506000-00010"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.15955","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.15955","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.15955","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T07:57:24Z","timestamp":1771315044000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.15955"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,24]]},"references-count":15,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1002\/ijgo.15955"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.15955","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,24]]},"assertion":[{"value":"2024-06-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}