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- W2893314123 abstract "<b><i>Objective:</i></b> To compare vaginal delivery rate and perinatal outcomes of fetuses with late-onset fetal growth restriction (FGR) undergoing labor induction, depending on the method for cervical ripening (dinoprostone vs. Foley balloon). <b><i>Material and Methods:</i></b> We conducted a retrospective cohort study of 148 consecutive singleton gestations diagnosed with stage I late-onset FGR and Bishop score < 7, in which labor induction was indicated at ≥37 + 0 weeks. Before January 2016, cervical ripening was achieved with 10 mg of vaginal dinoprostone (<i>n</i> = 77) and afterwards with Foley balloon (<i>n</i> = 71). Logistic regression analysis was used to estimate the association between mode of delivery and induction method. <b><i>Results:</i></b> Foley balloon had lower percentages of uterine tachysystole with fetal repercussion (4.2 vs. 16.9%, <i>p</i> = 0.01) and cesarean sections for suspected fetal distress (7.0 vs. 26.0%, <i>p</i> < 0.01) when compared to dinoprostone. Lower percentages of cesarean sections were found in the Foley balloon group (15.5 vs. 37.7%, <i>p</i> < 0.01). The odds ratio and adjusted odds ratio of cesarean section with dinoprostone were of 3.3 and 4.4, respectively. Perinatal mortality and severe morbidity were null in both groups. <b><i>Conclusion:</i></b> The use of Foley balloon resulted in a higher percentage of vaginal delivery compared to dinoprostone, with a favorable safety profile in both groups." @default.
- W2893314123 created "2018-10-05" @default.
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- W2893314123 date "2018-09-24" @default.
- W2893314123 modified "2023-10-16" @default.
- W2893314123 title "Labor Induction in Late-Onset Fetal Growth Restriction: Foley Balloon versus Vaginal Dinoprostone" @default.
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- W2893314123 doi "https://doi.org/10.1159/000491784" @default.
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