Cervical Balloon Induction in LDRP Unit: Effects on Maternal and Neonatal Outcomes for Primiparous Women

Abstract

Abstract Background: To compare the delivery outcomes and childbirth experiences of primiparous women using double-balloon catheters to induce labor in LDRP (labor waiting, delivery and postpartum recovery) unit and in ordinary delivery room. Methods: 160 cases of primiparous women undergoing induced labor with double-balloon catheters in Jiaxing Women and Children's Hospital affiliated to Wenzhou Medical University between January 2022 and October 2022 were selected as the study group, either in LDRP unit or in ordinary delivery room. Age, gestational week, BMI, induced labor outcome, and blood loss at 2 hours postpartum were evaluated and compared between the two groups. Three days after delivery, the women assessed their childbirth experience using the Chinese version of Childbirth Experience Questionnaire (CEQ-C). The data was analyzed utilizing IBM SPSS Statistics. Results: Women in the LDRP group experienced shorter time of total labor stage (333.16 min vs 434.88 min, P < 0.01) and first stage of labor (262.87 min vs 360.34 min, P < 0.01). Incidence of intrapartum fever in the LDRP group were lower than those in the control group (P < 0.01). There were no differences in the rates of cesarean section (CS) or postpartum hemorrhage (P > 0.05). Additionally, rates of postpartum infection, neonatal admissions, 5min-Apgar scores, and indications for CS were similar in the two groups (P > 0.05). The mean total CEQ-C score for women in LDRP was 3.48 (SD 0.25). In “Own capacity it was 3.38 (SD 0.40), in “Professional support” it was 3.91 (SD 0.19), in “Perceived safety” it was 3.16 (SD 0.51), and in “Participation” it was 3.22 (SD 0.56). When comparing women in ordinary room, differences were detectable (p < 0.01). Conclusion LDRP can improve the outcome of cervical balloon induction and enhance the experience of childbirth.