Cervical ripening with balloon catheter for scared uterus: A three-year retrospective study [Maturation cervicale par sonde à ballonnet sur utérus cicatriciel: étude rétrospective sur trois ans]

摘要

Objectives To evaluate, for women with scared uterus, the mechanical cervical ripening with balloon catheter. Methods We conducted a retrospective study of our practice of ripening for scared uterus from january 2010 to august 2012. Feasibility, Bishop's score, birth modalities and complications for mothers and babies during this ripening were studied. Results Thirty-nine medical files were analysed. All patients could have mechanical ripening independently of the internal os status (open or not). The cervical ripening with balloon catheter improved Bishop's score before induction of labour, from 3.54 ± 1.23 to 5.38 ± 1.47 (p = 0.02). 64.1% of women had a vaginal delivery. Concerning the predictive factors for vaginal delivery, we only found significant influence of a body mass index less than 30 kg/m 2 (p = 0.03). We didn't find any maternal or neonatal complications in our population. Conclusion Mechanical ripening for scared uterus seems to be a useful option to improve vaginal delivery without increasing maternal and foetal morbidity. Anyway, these results have to be confirmed by a randomized controlled trial on a specific scared uterus population.