[Risk of uterine rupture after cervical ripening with ballon catheter on uterus with previous cesarean section]. / Risque de rupture utérine après maturation des utérus cicatriciels par sonde à ballonnet.

OBJECTIVE: To evaluate the rate of uterine rupture after cervical ripening by mechanical methods using balloon catheter in patients with a previous cesarean section. MATERIALS AND METHODS: A literature search using the Medline database, Cochrane Library(®) database. RESULTS: We identified 13 studies evaluating four types of ballon catheter. One thousand two hundred and seventy-eight patients underwent cervical ripening by balloon catheter and 8 (0.62%) cases of uterine rupture were reported. The vaginal delivery rate was 741/1278 (58%). CONCLUSION: The use of balloon catheters in case of previous cesarean section does not appear to be associated with an increased risk of uterine rupture compared with spontaneous labor. However, further studies are required to evaluate correctly this risk.