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The purposes of successful induction of labor IOL are to shorten the time for IOL to delivery, increase the vaginal delivery rate, and reduce the rate of maternal and neonatal morbidity. It may be initiated by mechanical double balloon catheter DBC , synthetic osmotic dilator or pharmacologic prostaglandins methods, and the problem is complex due to the multitude of cervical ripening methods.
We are constantly looking for the optimal protocol of cervical ripening for each woman. The purposes of successful IOL are to shorten the time for IOL to delivery, increase the vaginal delivery rate, and reduce the rate of maternal and neonatal morbidity. Large, adequately powered, randomized controlled trials can be recommended to assess all these purposes. Cervical ripening refers to the process of cervical modifications and uterine contractions that are initiated by mechanical double balloon catheter, DBC, or synthetic osmotic dilator or pharmacologic prostaglandins methods prior to the onset of spontaneous labor, and the problem is complex due to the multitude of cervical ripening methods used.
The ideal method for cervical ripening has yet to be identified. Naturally, each of the different mechanical or pharmacological induction method has a different mechanism of action, as well as safety and adverse-effect profile. Variation in indications for IOL, parity, and gestational age at induction, as well as other demographic features, undoubtedly also affects clinical results.
We are constantly looking for the optimal protocol of IOL for each woman before the widespread use of a specific device for a specific maternal or obstetric condition or IOL indication.
