open access

Vol 81, No 1 (2010)
ARTICLES
Get Citation

Effectiveness of intracervical catheter as a labor preinduction method

Beata Marciniak, Jacek Bartosiewicz
Ginekol Pol 2010;81(1).

open access

Vol 81, No 1 (2010)
ARTICLES

Abstract

Abstract Objectives: This study was undertaken to determine the efficacy and safety of the Foley catheter as a cervical priming agent. Material and methods: Data analysis concern 327 women undergoing cervical ripening with intracervical Foley catheter. The primary measured outcome was ripening of the cervix as measured with the Bishop score. The secondary outcomes were the timings starting from balloon removal (or from spontaneous expulsion) to delivery, the preinduction-delivery interval, mode of delivery, frequency of side effects and neonatal outcome. Results: The most common indications for induction were post-term and non-reassuring fetal status. Intracervical Foley catheter was retained for mean duration of 15 hours 35 minutes. Bishop score rise after preinduction time was statistically significant (3.29±1.16 at the balloon insertion; 6.85±1.7 at the removal of the Foley catheter). Mean Bishop score change was 3.56 ± 1.58. The average interval from balloon expulsion to delivery was 8 hours 27 minutes, the preinduction-delivery interval – 24 hours 3 minutes. Out of 327 women undergoing cervical ripening with the Foley catheter, 236 (72.17%) had vaginal delivery, 91 (27.38%) – cesarean delivery. The rate of vaginal delivery was significantly higher in the multiparous group (85.32%) when compared to nulliparous (65.6%). In 312 neonates (94.8%), the Apgar score at 3 min was more than 8. Conclusions: Intracervical Foley catheter is an effective and safe agent for cervical ripening.

Abstract

Abstract Objectives: This study was undertaken to determine the efficacy and safety of the Foley catheter as a cervical priming agent. Material and methods: Data analysis concern 327 women undergoing cervical ripening with intracervical Foley catheter. The primary measured outcome was ripening of the cervix as measured with the Bishop score. The secondary outcomes were the timings starting from balloon removal (or from spontaneous expulsion) to delivery, the preinduction-delivery interval, mode of delivery, frequency of side effects and neonatal outcome. Results: The most common indications for induction were post-term and non-reassuring fetal status. Intracervical Foley catheter was retained for mean duration of 15 hours 35 minutes. Bishop score rise after preinduction time was statistically significant (3.29±1.16 at the balloon insertion; 6.85±1.7 at the removal of the Foley catheter). Mean Bishop score change was 3.56 ± 1.58. The average interval from balloon expulsion to delivery was 8 hours 27 minutes, the preinduction-delivery interval – 24 hours 3 minutes. Out of 327 women undergoing cervical ripening with the Foley catheter, 236 (72.17%) had vaginal delivery, 91 (27.38%) – cesarean delivery. The rate of vaginal delivery was significantly higher in the multiparous group (85.32%) when compared to nulliparous (65.6%). In 312 neonates (94.8%), the Apgar score at 3 min was more than 8. Conclusions: Intracervical Foley catheter is an effective and safe agent for cervical ripening.
Get Citation

Keywords

induced labor, Foley balloon catheterization, prostaglandins

About this article
Title

Effectiveness of intracervical catheter as a labor preinduction method

Journal

Ginekologia Polska

Issue

Vol 81, No 1 (2010)

Bibliographic record

Ginekol Pol 2010;81(1).

Keywords

induced labor
Foley balloon catheterization
prostaglandins

Authors

Beata Marciniak
Jacek Bartosiewicz

Regulations

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk
tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl