Abstract：
OBJECTIVE: Induction of labor in France concerns one birth out of four with 70% of induction starting by cervical ripening, either with a pharmacological (prostaglandins) or a mechanical (balloon) method. This review aims to compare these two methods within current knowledge, using the PRISMA methodology.
METHODS: Trials comparing these two methods, published or unpublished up to July 2023, in French or English were searched for in the PubMed, Cochrane Library and ClinicalTrial.govs datasets. Fifty articles including 10,689 women were selected. The outcomes of interest were those from the Core Outcome Set for trails on Induction of Labour (COSIOL) list: mode of delivery, time from induction-to-birth, maternal and neonatal morbidity, and maternal satisfaction.
RESULTS: No differences were observed between the two methods for the mode of delivery or neonatal and maternal morbidity. The time from induction-to-birth was longer for mechanical methods. Those were also associated with a greater need for oxytocin, less uterine hyperstimulation and less instrumental deliveries. Maternal satisfaction was assessed in only nine trials using various scales which made the interpretation of maternal satisfaction.
CONCLUSIONS: The efficacy of these two induction methods is similar for vaginal delivery, but it remains to be seen which one best meets women\'s satisfaction criteria.
METHODS: Trials comparing these two methods, published or unpublished up to July 2023, in French or English were searched for in the PubMed, Cochrane Library and ClinicalTrial.govs datasets. Fifty articles including 10,689 women were selected. The outcomes of interest were those from the Core Outcome Set for trails on Induction of Labour (COSIOL) list: mode of delivery, time from induction-to-birth, maternal and neonatal morbidity, and maternal satisfaction.
RESULTS: No differences were observed between the two methods for the mode of delivery or neonatal and maternal morbidity. The time from induction-to-birth was longer for mechanical methods. Those were also associated with a greater need for oxytocin, less uterine hyperstimulation and less instrumental deliveries. Maternal satisfaction was assessed in only nine trials using various scales which made the interpretation of maternal satisfaction.
CONCLUSIONS: The efficacy of these two induction methods is similar for vaginal delivery, but it remains to be seen which one best meets women\'s satisfaction criteria.
摘要：
目标：法国的引产涉及四分之一的分娩，其中70％的引产始于宫颈成熟，使用药理学（前列腺素）或机械（气球）方法。这篇综述旨在在现有知识范围内比较这两种方法，使用PRISMA方法。
方法：比较这两种方法的试验，截至2023年7月已出版或未出版，在PubMed中搜索法语或英语，Cochrane图书馆和ClinicalTrial.govs数据集。选择了50篇文章，其中包括10689名妇女。感兴趣的结果是来自“核心成果集”中的那些关于劳动诱导（COSIOL）列表的线索：交付方式，从引产到出生的时间，孕产妇和新生儿发病率，和产妇满意度。
结果：两种分娩方式或新生儿和产妇发病率没有差异。机械方法从诱导到出生的时间更长。这些也与对催产素的更大需求有关，子宫过度刺激较少，器械分娩较少。仅在9项试验中使用各种量表评估了产妇满意度，从而解释了产妇满意度。
结论：这两种诱导方法对阴道分娩的疗效相似，但哪一个最符合女性满意度标准还有待观察。
方法：比较这两种方法的试验，截至2023年7月已出版或未出版，在PubMed中搜索法语或英语，Cochrane图书馆和ClinicalTrial.govs数据集。选择了50篇文章，其中包括10689名妇女。感兴趣的结果是来自“核心成果集”中的那些关于劳动诱导（COSIOL）列表的线索：交付方式，从引产到出生的时间，孕产妇和新生儿发病率，和产妇满意度。
结果：两种分娩方式或新生儿和产妇发病率没有差异。机械方法从诱导到出生的时间更长。这些也与对催产素的更大需求有关，子宫过度刺激较少，器械分娩较少。仅在9项试验中使用各种量表评估了产妇满意度，从而解释了产妇满意度。
结论：这两种诱导方法对阴道分娩的疗效相似，但哪一个最符合女性满意度标准还有待观察。
