Double Balloon Catheter Versus Dinoprostone Vaginal Insert for Cervical Ripening.

Double Balloon Catheter Versus Vaginal PGE2 for Pre-induction Cervical Ripening: a Randomized Study.

To compare the efficacy of transcervical double balloon catheters versus controlled release dinoprostone vaginal inserts for pre-induction cervical ripening in term women with unfavourable cervices.

Inclusion Criteria:

• singleton gestation
• gestational age greater than 34 weeks
• cephalic presentation
• intact membranes
• Bishop score of ≤4
• reactive fetal heart rate (FHR) pattern on admission

Exclusion Criteria:

• any condition precluding vaginal delivery
• any contraindication to receiving prostaglandins, including history of asthma, glaucoma, or cardiac or cardiovascular disease
• previous cesarean section or other uterine incision