We use cookies to understand how you use our site and to improve your experience. This includes personalizing content and advertising. To learn more, click here. By continuing to use our site, you accept our use of cookies. Cookie Policy.

Features Partner Sites Information LinkXpress
Sign In
Advertise with Us
GLOBETECH PUBLISHING LLC

Download Mobile App




Events

ATTENTION: Due to the COVID-19 PANDEMIC, many events are being rescheduled for a later date, converted into virtual venues, or altogether cancelled. Please check with the event organizer or website prior to planning for any forthcoming event.

Outpatient Cervical Ripening Safely Shortens Inpatient Labor

By HospiMedica International staff writers
Posted on 26 Jan 2022
Print article
Image: Balloon catheters can hasten cervical ripening (Photo courtesy of Cook Medical)
Image: Balloon catheters can hasten cervical ripening (Photo courtesy of Cook Medical)
Women who undergo at-home balloon catheter cervical ripening spend less time in hospital than those who undergo a prostaglandin induction procedure, according to a new study.

Researchers at Thomas Jefferson University (TJU; Philadelphia, PA, USA), The Women’s Hospital (Newburgh, IN, USA), and other institutions examined six studies involving 571 low-risk patients with singleton gestations (of at least 37 weeks) in order to evaluate whether outpatient cervical ripening with a balloon catheter results in a shorter amount of time in the labor and delivery unit, when compared with medical induction use in the inpatient setting.

The results revealed that the outpatient group had a mean 16.3 hours in the labor and delivery unit, as compared with 23.8 hours for the inpatient group, a difference of 7.24 hours. The researchers also observed a significant 24% decreased risk of cesarean delivery, and no stillbirths were reported. Demographically, body mass index (BMI) was lower in the outpatient group, with no differences in maternal age, gestational age at induction, or parity. The study was published on January 6, 2022, in Obstetrics & Gynecology.

“We knew induction was good in the hospital for many indications. We now know that induction can be started at home, and it's safe,” said corresponding author Vincenzo Berghella, MD, director of the maternal-fetal medicine at TJU. “The lower rate of cesarean delivery in the outpatient group likely reflected less use of fetal heart-rate monitoring, which can produce false-positive predictions of fetal compromise.”

Balloon catheters have been used for labor induction as far back as the 1890s. It has been postulated that the mechanical stretching by the catheter balloon causes an increased release of endogenous prostaglandins, which in turn cause cervical ripening, and without significant uterine contractions or systemic side effects in mothers. Expulsion of the balloon catheter usually occurs when a cervical dilation of about four cm is evident.

Related Links:
Thomas Jefferson University
The Women’s Hospital



Print article

Channels

AI

view channel
Image: ‘Hologram patients’ developed to help train doctors and nurses (Photo courtesy of University of Cambridge)

Life-Like Hologram Patients Train Doctors for Real-Time Decision Making in Emergencies

A medical training project using 'mixed reality' technology aims to make consistent, high-level and relevant clinical training more accessible across the world. University of Cambridge (Cambridge, UK)... Read more

Critical Care

view channel
Image: Tired doctors often leave patients in unnecessary pain, according to an Israeli study (Photo courtesy of Pexels)

Tired Night-Shift Physicians Less Likely to Prescribe Painkiller for Patients

A new study has revealed that physicians are far less likely to prescribe painkillers at night than during the day, indicating that the tiredness experienced by doctors is actually hurting patients.... Read more

Surgical Techniques

view channel
Image: The Senhance surgical system with digital laparoscopy (Photo courtesy of Asensus Surgical)

Digital Laparoscopic Platform Leverages Augmented Intelligence and Machine Learning

Challenges in laparoscopic surgery can impact cost, utilization, effectiveness, and outcomes of the procedure. For instance, the inability of the surgeon to control vision can create efficiency and safety... Read more

Health IT

view channel
Image: AI can reveal a patient`s heart health (Photo courtesy of Mayo Clinic)

AI Trained for Specific Vocal Biomarkers Could Accurately Predict Coronary Artery Disease

Earlier studies have examined the use of voice analysis for identifying voice markers associated with coronary artery disease (CAD) and heart failure. Other research groups have explored the use of similar... Read more

Business

view channel
Image: Expanding the role of autonomous robots can mitigate the shortage of physicians (Photo courtesy of Pexels)

Robot-Assisted Surgical Devices Market Driven by Increased Demand for Patient-Specific Surgeries

An aging population and accompanying retirements will cause a significant physician shortfall of 55,000 to 150,000 by 2030, creating a gap in the healthcare system. Expanding the role of autonomous robots... Read more
Copyright © 2000-2022 Globetech Media. All rights reserved.