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Vol 84, No 5 (2013)
ARTICLES
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Risk factors for cesarean section after using the Foley catheter for labor induction

Jarosław Beta, Tadeusz Issat, Małgorzata A. Nowicka, Artur J. Jakimiuk
DOI: 10.17772/gp/1589
·
Ginekol Pol 2013;84(5).

open access

Vol 84, No 5 (2013)
ARTICLES

Abstract

Objective: The aim of the study was to investigate the value of the Bishop score and ultrasound examination of the cervix in predicting the success of labor induction with the use of the Foley catheter determined by the mode of delivery. Material and methods: Foley catheter induction of labor was performed in 135 pregnancies between 38 to 42 weeks gestation. The study group was divided into two groups, depending of the mode of delivery: vaginal vs. cesarean. Results: The Bishop score was significantly higher in the vaginal delivery group when compared to the caesarean section group (5.2; 95%CI: 4.4 – 6.2 vs. 3.9; 95%CI: 2.8-4.9). Cervical length was not statistically significantly different between the two groups. Multivariate logistic regression showed that patient-specific risk for caesarean section decreases with increasing maternal age and the Bishop score (Detection Rate [DR] of 52% at fixed False Positive Rate [FPR] of 10%). Conclusions: Failure of labor induction with the use of the Foley catheter can be predicted by maternal age and pre-induction Bishop score.

Abstract

Objective: The aim of the study was to investigate the value of the Bishop score and ultrasound examination of the cervix in predicting the success of labor induction with the use of the Foley catheter determined by the mode of delivery. Material and methods: Foley catheter induction of labor was performed in 135 pregnancies between 38 to 42 weeks gestation. The study group was divided into two groups, depending of the mode of delivery: vaginal vs. cesarean. Results: The Bishop score was significantly higher in the vaginal delivery group when compared to the caesarean section group (5.2; 95%CI: 4.4 – 6.2 vs. 3.9; 95%CI: 2.8-4.9). Cervical length was not statistically significantly different between the two groups. Multivariate logistic regression showed that patient-specific risk for caesarean section decreases with increasing maternal age and the Bishop score (Detection Rate [DR] of 52% at fixed False Positive Rate [FPR] of 10%). Conclusions: Failure of labor induction with the use of the Foley catheter can be predicted by maternal age and pre-induction Bishop score.
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Keywords

Foley catheter induction, induction of labor, Cervical Ripening

About this article
Title

Risk factors for cesarean section after using the Foley catheter for labor induction

Journal

Ginekologia Polska

Issue

Vol 84, No 5 (2013)

DOI

10.17772/gp/1589

Bibliographic record

Ginekol Pol 2013;84(5).

Keywords

Foley catheter induction
induction of labor
Cervical Ripening

Authors

Jarosław Beta
Tadeusz Issat
Małgorzata A. Nowicka
Artur J. Jakimiuk

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