The effect of maternal obesity on the success of labor induction with a cervical ripening double-balloon catheter and on pain perception during catheter insertion
Journal Title: Gulhane Medical Journal - Year 2020, Vol 62, Issue 1
Abstract
Aim: To evaluate the effect of maternal body mass index (BMI) on the success of labor induction with a cervical ripening double-balloon catheter and maternal pain perception during the catheter insertion process. Methods: This observational study included 103 women with singleton pregnancies, who underwent labor induction with a double-balloon catheter at ≥39 weeks of gestation for obstetric indications. The study population was divided into two groups according to the BMI (group 1 <30 kg/m2 and group 2 ≥30 kg/m2). The two groups were compared in terms of their clinical characteristics, labor outcomes, cesarean delivery rate, delivery rate within 24 hours of insertion, and maternal pain perception during catheter insertion. Results: The two BMI groups showed no significant differences in the cesarean delivery rate (31.5% vs. 42.9%), the delivery rate within 24 hours of labor induction (85.2% vs. 81.6%), and Visual Analog Scale (VAS) score (4.8±2.9 vs. 4.6±2.5) (p>0.05). The cesarean delivery rate was 19.6% in multiparous women and 57.4% in nulliparous women (p<0.001). The median Bishop scores upon admission and at the time of balloon expulsion were higher in women who delivered vaginally than in those who underwent cesarean sections [4 (1-5) vs. 2 (1-5) and 7 (4-11) vs. 6 (2-8), respectively, p<0.001]. The VAS scores recorded during double-balloon catheter insertion (4.8±2.9 vs. 4.6±2, p=0.772) were also similar in both groups. Conclusion: Maternal BMI did not affect the success of labor induction with a cervical ripening double-balloon catheter. Parity and Bishop scores were the factors influencing labor induction success.
Authors and Affiliations
Tuğba Kınay, Berna Dilbaz, Runa Özelçi, İnci Kahyaoğlu, Özlem Moraloğlu Tekin
Keywords
Related Articles
- EP ID EP684387
- DOI 10.4274/gulhane.galenos.2019.721
- Views 199
- Downloads 0
The association of serum beta-2-microglobulin with autoantibody production and disease activity in patients with primary Sjögren’s syndrome
Aims: The aim of the this study is to evaluate beta-2-microglobulin (B2M) levels in patients with primary Sjögren’s syndrome (pSS) and to investigate their correlation with serum biomarkers and disease activity indexes c...
Therapeutic efficiency analyses of mandibular advancement devices using polysomnography, smartphone sleep applications, and simple pulse oximetry
Aims: Oral appliances are non-invasive solutions for obstructive sleep apnea (OSA). The aim of the present study was to determine the therapeutic efficiency of mandibular advancement devices (MAD), using polysomnography...
Complementary and alternative medicine usage in patients with Familial Mediterranean Fever
Aims: Colchicine is mainstay in the treatment of Familial Mediterranean Fever (FMF). In chronic diseases, complementary and alternative medicine (CAM) methods can be chosen as a non-mainstream treatment. We aimed to iden...
Absolute lymphocyte count is a predictor of outcome after splenectomy for immune thrombocytopenia
Aims: Splenectomy is still the standard salvage therapy in immune thrombocytopenia (ITP) cases refractory to corticosteroid therapy. The aim of this study was to evaluate adult ITP patients who underwent splenectomy and...
Analysis of urinary stone types’ distribution in Turkey according to the geographical regions where patients were born and live: A cross-sectional single-center experience
Aims: To evaluate the stone composition and the distribution of the stone types in the geographical regions of Turkey according to where patients were born and where patients live. Methods: The patients who were treated...