{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T03:18:47Z","timestamp":1792811927615,"version":"4.5.0"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,3,1]],"date-time":"2017-03-01T00:00:00Z","timestamp":1488326400000},"content-version":"vor","delay-in-days":28,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2017,2]]},"abstract":"Background<\/jats:title>The process of induction of labour (IOL<\/jats:styled-content>) commonly involves cervical ripening, using mechanical or pharmacological methods. However, the optimum protocol of IOL<\/jats:styled-content> remains undetermined.<\/jats:p><\/jats:sec>Aims<\/jats:title>To report the maternal, neonatal and process outcomes for women being induced with a balloon catheter or prostaglandin E2 gel (PGE<\/jats:styled-content>2).<\/jats:p><\/jats:sec>Materials and methods<\/jats:title>Matched retrospective cohort study of women requiring IOL<\/jats:styled-content> at term with a modified Bishop's score (MBS<\/jats:styled-content>) <7. Those who underwent cervical ripening with a double balloon catheter were matched 1:1 for parity, indication and MBS<\/jats:styled-content> score to those using PGE<\/jats:styled-content>2 gel. The primary outcome measure was mode of birth.<\/jats:p><\/jats:sec>Results<\/jats:title>After exclusions, data from 427 women induced with a balloon catheter were able to be matched to 427 women induced with PGE<\/jats:styled-content>2 gel. Compared to women receiving PGE<\/jats:styled-content>2 gel, those induced using a balloon catheter were more likely to have an unassisted vaginal birth (50.4% vs 42.9%; P<\/jats:italic>\u00a0=\u00a00.028), a lower mean estimated blood loss (420 vs 481\u00a0mL; P<\/jats:italic>\u00a0=\u00a00.028), a reduction in fetal acidaemia (2.4% vs 8.8%; P<\/jats:italic>\u00a0=\u00a00.003) and a greater likelihood experiencing vaginal delivery within 24\u00a0h (33.7% vs 25.8%; P<\/jats:italic>\u00a0=\u00a00.011).<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Similar to findings in randomised controlled trials and meta\u2010analyses of IOL<\/jats:styled-content> methods, we observed more unassisted vaginal births, less blood loss, decreased fetal acidaemia, and a greater likelihood of vaginal delivery within 24\u00a0h, with use of balloon catheter as compared to PGE<\/jats:styled-content>2 vaginal gel.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12577","type":"journal-article","created":{"date-parts":[[2017,3,2]],"date-time":"2017-03-02T03:50:27Z","timestamp":1488426627000},"page":"68-73","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Induction of labour using balloon catheter and prostaglandin gel"],"prefix":"10.1111","volume":"57","author":[{"given":"Jacqueline","family":"Brown","sequence":"first","affiliation":[{"name":"Mater HEALTH, Department of Obstetrics and Gynaecology Mater Health Services Raymond Terrace South Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Beckmann","sequence":"additional","affiliation":[{"name":"Mater HEALTH, Department of Obstetrics and Gynaecology Mater Health Services Raymond Terrace South Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,3]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)61484-0"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0035-1558094"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2009.02279.x"},{"key":"e_1_2_6_5_1","first-page":"CD001233","article-title":"Mechanical methods for induction of labour","volume":"4","author":"Boulvain M","year":"2001","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD001233.pub2"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.3109\/01443615.2013.831043"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0889-8545(05)70072-3"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2010.04.038"},{"key":"e_1_2_6_10_1","unstructured":"HilderLet\u00a0al.Australia's mothers and babies 2012. 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