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- W3128360342 abstract "To evaluate the difference in time on Labor and Delivery with outpatient versus inpatient cervical ripening with a balloon catheter in low-risk women. This is an updated systematic review and meta-analysis including only randomized controlled trials (RCTs). Electronic databases were searched for eligible articles. Those not comparing balloon use in both arms of the RCT were excluded. The reference lists of identified articles were examined to identify additional studies. Authors were contacted for unpublished data. The primary outcome was the difference in time on labor and delivery. Secondary outcomes included duration of oxytocin use, delivery outcomes and neonatal outcomes. The meta-analysis was performed using the effects measure of mean difference with a 95% confidence interval (CI), and the random effects model of DerSimonian and Laird to calculate risk ratio (RR) with 95% CI. Five RCTs, including 544 women, met inclusion criteria. The mean difference in time on Labor and Delivery when comparing the outpatient to inpatient groups was -6.92 hours (95% CI -11.05, -2.78). There was no difference in duration of oxytocin use among four studies (mean difference 0.04 hours, 95% CI -2.54, 2.61). Data on route of delivery was available for all five RCTs. The outpatient group was less likely to deliver via cesarean (RR 0.69, 95% CI 0.52-0.92). There was no difference in risk of postpartum hemorrhage, chorioamnionitis or endometritis. There was no difference in neonatal outcomes, including intensive care unit admission or 5-minute Apgar score less than seven. Outpatient cervical ripening with a balloon catheter in low-risk women is associated with a decreased amount of time spent on Labor and Delivery. Additionally, it is associated with a decreased risk of cesarean delivery. Outpatient cervical ripening with a balloon catheter would likely translate into decreased hospital costs and improved patient outcomes.View Large Image Figure ViewerDownload Hi-res image Download (PPT)" @default.
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- W3128360342 date "2021-02-01" @default.
- W3128360342 modified "2023-10-18" @default.
- W3128360342 title "1141 Outpatient balloon cervical ripening" @default.
- W3128360342 doi "https://doi.org/10.1016/j.ajog.2020.12.1165" @default.
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