Case series of labor induction in twin gestations with an intrauterine balloon catheter

Moshe Manor*, Isaac Blickstein, Alon Ben-Arie, Ariel Weissman, Zion Hagay

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


The efficacy and safety of labor induction using an intrauterine balloon catheter in twin pregnancies has been evaluated. During the study period (1992-1997), labor was induced at 36-42 weeks in 17 twin gestations. Labor induction was indicated for preeclampsia (n = 10), birth weight discordance (n = 3), suspected fetal distress (n = 2) and postdates (n = 2). Twin A was in vertex presentation in all cases. An intrauterine balloon catheter was inserted transcervically followed by augmentation whenever required. Vaginal delivery was achieved in 15 (88.2%) patients. The mean interval from balloon insertion to delivery was 17.05 h, with 80% deliveries occurring within 24 h of catheter insertion and 80% occurring within 12 h of catheter expulsion. Birth weight was 2514 ± 244 and 2421 ± 367 g for twin A and B, respectively. Oxytocin was required in 4 patients. Postpartum hemorrhage was noted in 1 patient. One patient with no progress of labor and 1 with suspected intrapartum fetal distress required cesarean section. All neonates had a 5-min Apgar score of 10. The data suggest that an intrauterine balloon catheter appears to be safe and effective to induce labor in twin gestations.

Original languageEnglish
Pages (from-to)244-246
Number of pages3
JournalGynecologic and Obstetric Investigation
Issue number4
StatePublished - 1999
Externally publishedYes


  • Intrauterine balloon catheter
  • Labor induction
  • Twins


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