{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T09:35:20Z","timestamp":1764322520392,"version":"3.46.0"},"reference-count":19,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,6,11]],"date-time":"2025-06-11T00:00:00Z","timestamp":1749600000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Mechanical methods for cervical ripening, such as extra\u2010amniotic balloons (EABs), are effective in promoting labor onset. We aimed to determine the association between the time interval from Foley catheter balloon expulsion to subsequent oxytocin induction and adverse delivery outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This was a retrospective cohort of 1261 patients who had undergone cervical ripening with EAB followed by medical induction of labor by oxytocin infusion. The time interval between EAB expulsion and oxytocin initiation was calculated, and the cohort was divided into groups above (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009127) and below (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091134) the 90th percentile for the study population. The primary outcome was operative delivery (vacuum\u2010assisted or cesarean deliveries), and the secondary outcomes were maternal and neonatal complications.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The 90th percentile time interval was 24.7\u2009h. Patients with time intervals at or above this threshold had a higher rate of operative delivery than women with shorter time intervals (45.7% vs. 32.7%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.004). This was secondary to an increase in the rate of vacuum\u2010assisted deliveries, with no significant difference in the rate of cesarean sections. The association was confirmed after adjustment for confounding variables (maternal age, body mass index, parity, diabetes, and neonatal birth weight) by multivariate regression analysis (adjusted odds ratio, 1.65 [95% confidence interval, 1.05\u20132.62];\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.03). Other outcomes were similar for both groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Delayed initiation of oxytocin following cervical ripening with EAB is associated with higher rates of operative deliveries.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.70259","type":"journal-article","created":{"date-parts":[[2025,6,11]],"date-time":"2025-06-11T07:53:06Z","timestamp":1749628386000},"page":"844-849","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Timing of oxytocin infusion following extra\u2010amniotic balloon cervical ripening and delivery outcomes"],"prefix":"10.1002","volume":"171","author":[{"given":"Hadas","family":"Zafrir\u2010Danieli","sequence":"first","affiliation":[{"name":"Helen Schneider Hospital for Women Rabin Medical Center  Petach Tikva Israel"},{"name":"Gray Faculty of Medical &amp; Health Sciences Tel Aviv University  Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yossi","family":"Geron","sequence":"additional","affiliation":[{"name":"Helen Schneider Hospital for Women Rabin Medical Center  Petach Tikva Israel"},{"name":"Gray Faculty of Medical &amp; Health Sciences Tel Aviv University  Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rita","family":"Zlatkin","sequence":"additional","affiliation":[{"name":"Gray Faculty of Medical &amp; Health Sciences Tel Aviv University  Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maya","family":"Yaacov Ayalon","sequence":"additional","affiliation":[{"name":"Gray Faculty of Medical &amp; Health Sciences Tel Aviv University  Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eran","family":"Hadar","sequence":"additional","affiliation":[{"name":"Helen Schneider Hospital for Women Rabin Medical Center  Petach Tikva Israel"},{"name":"Gray Faculty of Medical &amp; Health Sciences Tel Aviv University  Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shiri","family":"Barbash\u2010Hazan","sequence":"additional","affiliation":[{"name":"Helen Schneider Hospital for Women Rabin Medical Center  Petach Tikva Israel"},{"name":"Gray Faculty of Medical &amp; Health Sciences Tel Aviv University  Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5100-9107","authenticated-orcid":false,"given":"Anat","family":"Shmueli","sequence":"additional","affiliation":[{"name":"Helen Schneider Hospital for Women Rabin Medical Center  Petach Tikva Israel"},{"name":"Gray Faculty of Medical &amp; Health Sciences Tel Aviv University  Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,6,11]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016340500543733"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2001.109735"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2003.446"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2013.301583"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1089\/JWH.2014.4779"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMOA1800566"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD001233.PUB3\/INFORMATION"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13981"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.15047"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.EJOGRB.2017.09.014"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.AJOGMF.2020.100136"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/AOGS.13353"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1038\/S41372-017-0005-7"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/JOG.13551"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2024.01.028"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/IJGO.14313"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.AJOG.2021.11.1368"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/S00737-019-00968-2"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.WOMBI.2020.01.012"}],"container-title":["International Journal of Gynecology &amp; 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