{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T19:03:04Z","timestamp":1785610984674,"version":"3.56.0"},"reference-count":38,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2018,1,10]],"date-time":"2018-01-10T00:00:00Z","timestamp":1515542400000},"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":["BJOG"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>It has been suggested that cervical ripening with a balloon catheter for labour induction can be done in an outpatient setting in low\u2010risk pregnancies. Introduction of such an approach needs to be accompanied with monitoring of potential complications. Therefore the existence and frequency of any associated adverse event during cervical ripening needs to be established.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the complication rate during cervical ripening with balloon induction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Search strategy<\/jats:title><jats:p>We searched Embase, Medline, Cochrane Collaboration and <jats:styled-content style=\"fixed-case\">CINAHL<\/jats:styled-content> using keywords \u2018induction of labour\u2019, \u2018cervical ripening\u2019, \u2018balloon catheter\u2019, \u2018Foley balloon\u2019, \u2018transcervical balloon\u2019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Selection criteria<\/jats:title><jats:p>We included randomized controlled trials and cohort studies containing original data on fetal and maternal morbidity in pregnant women during cervical ripening with a balloon catheter. Only articles for which authors were able to give data for this exact time frame were included.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data collection and analysis<\/jats:title><jats:p>Two reviewers assessed independently the eligibility of included studies, extracted data and performed a quality assessment. A meta\u2010analysis was performed to calculate the estimated prevalence of the adverse events.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main results<\/jats:title><jats:p>In total 26 studies were included reporting on 8292 women. The estimated prevalence of the analysed adverse events in the random effects model was between 0.0 and 0.26%, of which \u2018pain\/discomfort\u2019 had the highest prevalence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study suggests the risk of adverse events during the period between insertion and expulsion of a balloon catheter in cervical ripening to be low. These data facilitate further evaluation and implementation of this procedure in an outpatient setting for low\u2010risk pregnancies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Tweetable abstract<\/jats:title><jats:p>Balloon catheter for cervical ripening appears to be safe enough to evaluate its use in the outpatient setting.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.15047","type":"journal-article","created":{"date-parts":[[2017,12,6]],"date-time":"2017-12-06T16:04:43Z","timestamp":1512576283000},"page":"1086-1095","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":72,"title":["Safety of the balloon catheter for cervical ripening in outpatient care: complications during the period from insertion to expulsion of a balloon catheter in the process of labour induction: a systematic review"],"prefix":"10.1111","volume":"125","author":[{"given":"M","family":"Diederen","sequence":"first","affiliation":[{"name":"Faculty of Health, Medicine and Life Sciences Maastricht University ER Maastricht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JSM","family":"Gommers","sequence":"additional","affiliation":[{"name":"Faculty of Health, Medicine and Life Sciences Maastricht University ER Maastricht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"Wilkinson","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Women's and Children's Hospital North Adelaide SA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D","family":"Turnbull","sequence":"additional","affiliation":[{"name":"School of Psychology The University of Adelaide North Terrace Adelaide SA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"BWJ","family":"Mol","sequence":"additional","affiliation":[{"name":"The Robinson Research Institute School of Paediatrics and Reproductive Health The University of Adelaide North Adelaide SA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,1,10]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"36","volume-title":"WHO recommendations for induction of labour, Department of Reproductive Health and Research","author":"World Health Organization","year":"2011"},{"key":"e_1_2_6_3_1","first-page":"1","article-title":"Maternal and neonatal outcomes of elective induction of labor","author":"Caughey AB","year":"2009","journal-title":"Evid Rep Technol Assess (Full Rep)"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003081-200609000-00022"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2010.04.038"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-015-0550-z"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12846"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2013.06.017"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2009.02279.x"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-13-25"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2016.62"},{"key":"e_1_2_6_12_1","volume-title":"EPOC Resources for review authors","author":"Effective Practice and Organisation of Care (EPOC)","year":"2013"},{"key":"e_1_2_6_13_1","volume-title":"Joanna briggs institute reviewers\u2019 manual","author":"Institute JB","year":"2016"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-151-4-200908180-00135"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2008.01843.x"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)61484-0"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e318220e4b7"},{"key":"e_1_2_6_18_1","first-page":"346","article-title":"Cervical Foley catheter versus vaginal misoprostol for cervical ripening and induction of labor: a randomized clinical trial","volume":"32","author":"de Oliveira e Oliveira MV","year":"2010","journal-title":"Rev Bras Ginecol Obstet"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)31367-3"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-015-0715-9"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)00084-2"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.3109\/01443615.2013.786030"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2013.10.715"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0136856"},{"key":"e_1_2_6_25_1","first-page":"781","article-title":"The timing of adverse events with foley catheter preinduction cervical ripening; 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