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Cervical ripening in the Netherlands: a survey
Claartje M A Huisman1, Marta Jozwiak, Jan Willem de Leeuw
1Department of Obstetrics and Gynecology, MC Haaglanden, 2512 VA The Hague, The Netherlands.
Obstetrics and Gynecology International
|September 3, 2013
Summary
In 2010, Dutch hospitals favored prostaglandins for cervical ripening in women without prior cesarean delivery. For those with a prior cesarean, mechanical methods like Foley catheters became preferred over prostaglandins.
Area of Science:
- Obstetrics and Gynecology
- Reproductive Medicine
Background:
- Cervical ripening is crucial for labor induction.
- Methods for cervical ripening vary, especially in women with prior cesarean delivery.
- Understanding current practices is essential for optimizing obstetric care.
Purpose of the Study:
- To investigate current methods and utilization of cervical ripening in The Netherlands.
- To compare practices in women with and without a prior cesarean delivery.
- To analyze trends in cervical ripening methods from 2006 to 2010.
Main Methods:
- A 2010 postal survey of all Dutch hospitals with labor wards was conducted.
- One gynecologist per hospital responded to a 31-question questionnaire on cervical ripening and labor induction.
- Survey data was compared with a similar 2006 Dutch survey.
Main Results:
- Prostaglandins were universally used for cervical ripening in women without prior cesarean delivery.
- In women with prior cesarean delivery, elective cesarean sections decreased from 26.0% (2006) to 21.4% (2010).
- Mechanical methods for cervical ripening in women with prior cesarean delivery increased significantly to 72.7% in 2010, while prostaglandin use decreased.
Conclusions:
- Prostaglandins and Foley catheters were the primary methods for cervical ripening in 2010 in The Netherlands for women without and with prior cesarean delivery, respectively.
- A notable increase in mechanical methods for cervical ripening in women with prior cesarean delivery occurred between 2006 and 2010.
- This shift corresponds with a decrease in prostaglandin use and elective repeat cesarean sections for this population.
