Cervical ripening with the Foley catheter

Cromi, Antonella; Ghezzi, Fabio; Tomera, S.; Uccella, Stefano; Lischetti, B; Bolis, Pierfrancesco

doi:10.1016/j.ijgo.2006.10.014

Cited by 19 publications

(16 citation statements)

References 19 publications

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“…These devices are easy to insert, relatively low cost, and have few adverse effects. Furthermore, studies have shown no increased risk of perinatal infections with the use of a single balloon (Foley) catheter for cervical ripening 19 . A number of randomised controlled trials have investigated the efficacy of Foley catheters.…”

Section: Introductionmentioning

confidence: 99%

Induction of labour in nulliparous women with an unfavourable cervix: a randomised controlled trial comparing double and single balloon catheters and PGE₂ gel

Pennell

Henderson

O'Neill

et al. 2009

BJOG

174

176

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Objective To compare the efficacy and patient satisfaction of three methods of labour induction (double balloon catheters, single balloon catheters and prostaglandin gel) in term nulliparous women with unfavourable cervices.Design Randomised controlled trial.Population A total of 330 nulliparous women with unfavourable cervices induced at term.Methods Three cervical ripening study arms were used: double balloon catheter (107 women); 16F Foley catheter (110 women) and PGE 2 gel (2 mg) (113 women).Main outcome measures Caesarean section, induction to delivery interval, adverse reactions and patient satisfaction.Results There was no difference in caesarean delivery rates between groups (double balloon 43%, single balloon 36%, PGE 2 37%, P = 0.567). The induction to delivery interval was longer in the double balloon group (median 24.5; 95% CI 23.7, 30.6 hours) than the single balloon (23.2; 20.8, 25.8 hours) or PGE 2 (23.8; 21.7, 26.8 hours) (P = 0.043). Uterine hyperstimulation occurred in 14% of the PGE 2 group with none occurring with mechanical cervical ripening. Cord blood gases were worse in the PGE 2 group: median arterial pH double balloon 7.26 (range 7.03-7.40); single balloon 7.26 (7.05-7.44); PGE 2 7.25 (6.91-7.41) (P = 0.050). Cervical ripening with the single balloon catheter was associated with significantly less pain (pain score ‡4: double balloon 55%, single balloon 36%, PGE 2 63%, P < 0.001).Conclusions Labour induction in nullipara with unfavourable cervices results in high caesarean delivery rates. Although all methods in this study had similar efficacy, the single balloon catheter offers the best combination of safety and patient comfort.Keywords Induction of labour, mechanical ripening, nulliparous women, prostaglandin, randomised controlled trial, unfavourable cervix.Please cite this paper as: Pennell C, Henderson J, O'Neill M, McCleery S, Doherty D, Dickinson J. Induction of labour in nulliparous women with an unfavourable cervix: a randomised controlled trial comparing double and single balloon catheters and PGE 2 gel.

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Section: Introductionmentioning

confidence: 99%

Induction of labour in nulliparous women with an unfavourable cervix: a randomised controlled trial comparing double and single balloon catheters and PGE₂ gel

Pennell

Henderson

O'Neill

et al. 2009

BJOG

174

176

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“…Par ailleurs, dans notre é tude, le nombre de femmes à se mettre en travail pendant la double maturation cervicale é tait plus é levé (34,5 %) que dans le groupe prostaglandines seules (18,4 %) mais cette diffé rence n'é tait pas significative (p = 0,14). Dans la litté rature, on retrouve un taux de 26,6 % de femmes entrant en travail avec le double ballonnet [27]. Le double ballonnet modifie donc, dans notre é tude comme dans la litté rature, le score de Bishop cependant le taux d'AVB n'est significativement pas diffé rent même si le score de Bishop intermé diaire est amé lioré .…”

Section: Discussionunclassified

Maturation cervicale par double ballonnet et dinoprostone en cas de col utérin très défavorable

Letailleur

Mathieu

Dietrich

et al. 2015

Gynécologie Obstétrique & Fertilité

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“…The insertion of an intra-cervical Foley catheter is a frequently used procedure for pre induction cervical ripening and IOL [6][7][8][9][10][11]. Although this procedure may be associated with accidental rupture of membranes and infections, these risks do not appear to be significantly different from the risks of vaginal prostaglandins [8,10].…”

Section: Introductionmentioning

confidence: 99%

Three doses of oral misoprostol versus an intra-cervical Foley catheter for 24 hours for pre-induction cervical ripening in post- dated pregnancies: a randomized controlled trial

Somirathne¹,

Goonewardene

Dasanayake

2017

Ceylon Med. J.

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Objectives To compare three doses of oral misoprostol 50µg four hourly versus an intra-cervical Foley catheter for 24 hours, for pre-induction cervical ripening.Methods Primary investigator blinded, randomized controlled trial conducted in 180 consecutive women with singleton uncomplicated pregnancies with Modified Bishop Score (MBS) 5 at 40 weeks + 6 days gestation, allocated by stratified (primigravida / multigravida) block randomization to receive three doses of oral misoprostol 50µg four hourly or an intra-cervical Foley catheter for 24 hours. MBS reassessed at 41 weeks gestation. If MBS 7, induction of labour (IOL) with amniotomy and intravenous oxytocin infusion. If MBS<7, cross over therapy with intracervical Foley catheter for misoprostol group, vaginal prostaglandin E 2 for Foley group.Results At commencement, no significant differences in age, parity, body mass index and MBS between the two groups. Greater proportions established labour in both primigravidae (30% vs. 9%; RR=4.4, 95% CI 1.3-14.6; p=0.01) and multigravidae (44%.vs.16%; RR=4.3; 95% CI 1.6-11.8; p=0.003) before 41 weeks of gestation in misoprostol group compared to the Foley group. Among the multigravidae, the mean increase of MBS was greater in the misoprostol group (3.1; 95% CI 2.4-4) compared to the Foley group (2.4; 95% CI 1.9-2.7, p=0.04). One primigravida and two multigravidae developed hyper stimulation after misoprostol therapy. No significant differences in the other maternal and perinatal outcomes.Conclusions Compared to an intra-cervical Foley catheter for 24 hours, three doses of oral misoprostol 50µg four hourly was more effective for cervical ripening and even resulted in IOL.

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Cervical ripening with the Foley catheter

Abstract: Transcervical use of the Foley catheter is safe for pre-induction cervical ripening, and the associated risk of maternal or perinatal infections is negligible.

Cited by 19 publications

References 19 publications

Induction of labour in nulliparous women with an unfavourable cervix: a randomised controlled trial comparing double and single balloon catheters and PGE₂ gel

Induction of labour in nulliparous women with an unfavourable cervix: a randomised controlled trial comparing double and single balloon catheters and PGE₂ gel

Maturation cervicale par double ballonnet et dinoprostone en cas de col utérin très défavorable

Three doses of oral misoprostol versus an intra-cervical Foley catheter for 24 hours for pre-induction cervical ripening in post- dated pregnancies: a randomized controlled trial

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Cervical ripening with the Foley catheter

Abstract: Transcervical use of the Foley catheter is safe for pre-induction cervical ripening, and the associated risk of maternal or perinatal infections is negligible.

Cited by 19 publications

References 19 publications

Induction of labour in nulliparous women with an unfavourable cervix: a randomised controlled trial comparing double and single balloon catheters and PGE2 gel

Induction of labour in nulliparous women with an unfavourable cervix: a randomised controlled trial comparing double and single balloon catheters and PGE2 gel

Maturation cervicale par double ballonnet et dinoprostone en cas de col utérin très défavorable

Three doses of oral misoprostol versus an intra-cervical Foley catheter for 24 hours for pre-induction cervical ripening in post- dated pregnancies: a randomized controlled trial

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Induction of labour in nulliparous women with an unfavourable cervix: a randomised controlled trial comparing double and single balloon catheters and PGE₂ gel

Induction of labour in nulliparous women with an unfavourable cervix: a randomised controlled trial comparing double and single balloon catheters and PGE₂ gel