Publications by authors named "Bernard J Kennedy"
Logistics for achieving delivery: A secondary analysis of the home induction randomised controlled trial.
Eur J Obstet Gynecol Reprod Biol
February 2025
Article Synopsis
- The study analyzed the effectiveness and logistics of vaginal delivery following outpatient induction of labor using different cervical ripening methods.
- Results showed that most women (94%) delivered within 72 hours of induction, with varying rates of readmission and need for additional treatments between the different methods.
- The findings suggest that specific protocols for outpatient induction can lead to high vaginal delivery rates and inform future practices in labor induction services.
Background: The increased demand for induction of labour (IOL) at 39 weeks' gestation in normal-risk nulliparous patients creates significant logistical challenges for busy maternity units. A potential innovation is commencing induction by means of outpatient cervical ripening, using either a vaginal prostaglandin preparation (Propess) or an osmotic cervical dilator (Dilapan-S).
Methods: A Phase III, open label, single centre non-inferiority trial (EudraCT number 2019-004697-25) randomised healthy nulliparous women who chose elective IOL at 39 weeks to one of three methods of initial cervical ripening, specifically 12 h of Dilapan-S(D12), 24 h of Dilapan-S(D24), or 24 h of Propess(P24) between November 2020 and July 2023.