Induction of labor in women with previous cesarean section using the double balloon device

Background and methods. To evaluate the efficacy and safety of labor induct ion by the double balloon device in women with previous cesarean section. I nduction of labor was carried out in 37 women with previous cesarean sectio n for various indications. All the inductions of labor were performed using the Atad double balloon device (ARD). Results. Cervical ripening (Bishop scores above 5) was achieved in 82.3% of the induced women with subsequent vaginal delivery in 78.6% and repeat ces arean section in 22.3%. An important observation of the results was the cha nces to achieve a vaginal delivery according to the second Bishop score tha t was recorded 12 hours following the insertion of the device. When the sec ond was above 5 the chances for vaginal delivery were 79.4%. The mean time from removal of the device to delivery was 10.8 hours. No complications wer e noted using the device. Conclusions. The double balloon device appears to be a safe and effective m ethod of inducing labor in women with a previous lower segment cesarean sec tion. Wide scale studies and further use of the device for induction of lab or in women who have had previous cesarean sections are warranted.