Comparative study of induction of labour with Foley's catheter inflated to 30 mL versus 60 mL

Indira, I; Latha, G. Swarna; Narayanamma, V. Lakshmi

doi:10.15380/2277-5706.jcsr.15.032

Cited by 5 publications

(10 citation statements)

References 2 publications

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“…The balloon size was not specified in two additional trials, but no specific ruptures were reported, and the authors could not be reached for confirmation . The authors of the remaining trials confirmed that the overinflation did not result in Foley balloon rupture (0 of 238 large‐volume balloons) . Sandberg et al routinely performed amniotomy after expulsion of the balloon if the Bishop score was considered favorable (>6), otherwise a second Foley catheter was placed (Table ) .…”

Section: Resultsmentioning

confidence: 99%

“…Publication bias, assessed statistically by using Begg's and Egger's tests, showed no significant bias ( p = 0.37 and p = 0.32, respectively). Three authors provided additional unpublished data from their trials . One author kindly provided the entire database from the original trial .…”

Section: Resultsmentioning

confidence: 99%

“…All studies included only singleton gestations at term with cephalic presentation and with intact membranes at the time of admission for the induction of labor (Table ). Regarding the intervention group, three RCTs used balloons inflated to 80 mL and four used balloons inflated to 60 mL . All trials used the balloon inflated to 30 mL as the comparison group.…”

Section: Resultsmentioning

confidence: 99%

“…Balloons were removed after 12 or 24 h or until spontaneous expulsion (Table ). The balloons were overinflated in the intervention arm in four trials , with only one trial reporting Foley balloon rupture in 12 cases (14% rupture rate) . There were no maternal or neonatal adverse events reported as a result of the ruptured balloons.…”

Section: Resultsmentioning

confidence: 99%

“…The study identification flow diagram is shown in Figure 1. Seven RCTs (n = 1432) were identified as relevant and included in the systematic review (5)(6)(7)(8)(11)(12)(13). Publication bias, assessed statistically by using Begg's and Egger's tests, showed no significant bias (p = 0.37 and p = 0.32, respectively).…”

Section: Study Selectionmentioning

confidence: 99%

See 4 more Smart Citations

Increased single‐balloon Foley catheter volume for induction of labor and time to delivery: a systematic review and meta‐analysis

Schoen

Saccone

Backley

et al. 2018

Acta Obstet Gynecol Scand

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Study Selectionmentioning

confidence: 99%

See 3 more Smart Citations

Increased single‐balloon Foley catheter volume for induction of labor and time to delivery: a systematic review and meta‐analysis

Schoen

Saccone

Backley

et al. 2018

Acta Obstet Gynecol Scand

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show abstract

Comparative study of pharmacological and combined pharmaco-mechanical method of induction of labour: a randomised study

Kumari

Chiniwar

Menasinkai

2021

Int J Reprod Contracept Obstet Gynecol

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Background: Comparative study of Pharmacological and Pharmaco- Mechanical method of induction of labour- A Randomised study. The objective of the study was to compare efficacy of pharmacological and combined pharmaco-mechanical method of induction of labour.Methods: A study was conducted in the department of Obstetrics and gynaecology, Adichunchanagiri Institute of Medical Sciences and Research Centre for a period of 18 months. 200 pregnant women requiring induction of labour were included in the study. In group 1 Dinoprostone 0.5 mg gel was inserted into cervical canal. In group 2 Foley’s catheter No 18 F was inserted within the cervix. The balloon of the catheter was filled with 30 ml normal saline and at the same time Dinoprostone 0.5 mg gel was inserted into posterior vaginal fornix. The Excel and SPSS (SPSS Inc, Chicago V 18.5) software packages were used for data entry and analysis. The results were averaged (mean ± Std Deviation) for each parameter for continuous data in tables.Results: Mean induction to active phase interval in group 1 was 8.43±4.11 hrs, in group 26.82±3.01 hrs (p =0.001). The rate of vaginal delivery in group 1 and group 2 was 55% and 66% respectively, difference was statistically significant (p=0.026).Conclusions: Synchronous use of intracervical Foley’s catheter and Dinoprostone 0.5 mg resulted in a shorter time for progress to active phase and also shortened induction to delivery interval as compared to Dinoprostone 0.5 mg alone. Higher risk of caesarean delivery was associated with single method as compared to combined methods.

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Profiling cervical ripening for induction of labour with Foley’s balloon catheter in Ebonyi state, Nigeria: a randomized controlled trial

et al. 2021

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Background: The ripeness of the cervix is an important prerequisite to a successful labour induction. Use of extra-amniotic Foley catheter is a mechanical method of cervical ripening with proven efficacy. This study compared the difference in efficacy between 30 ml and 60 ml of water for inflation of Foley catheter balloon when used for cervical ripening during induction of labour.Methods: A single-blind randomized controlled study where 260 term pregnant women with intact membranes and unfavourable cervix were selected for induction of labour and randomized into two equal groups (30 ml- and 60 ml- groups) from October, 2019 to July 2020. Each participant had cervical ripening with the catheter bulb inflated with either 30 ml or 60 ml of sterile water (as assigned to the individual). After achieving favourable cervix (BS ≥6), oxytocin titration was commenced and the labour monitored with the outcomes well documented and statistically analysed.Results: Mean duration to favourable Bishop Score significantly reduced in the 60 ml group (10.8 hours±2.99) as against 12.7 hours±10.0 in 30ml group (p=0.038). Mean duration of active phase of labour was significantly reduced in 60 ml group (5.6 hours±2.4) as against 8.4 hours±3.2 in 30 ml group (p=0.010). Caesarean delivery rate was significantly reduced in the 60 ml groups (p=0.027).Conclusions: The use of 60 ml inflated Foley’s balloon catheter when compared with 30mls to ripen the cervix effectively reduced the duration to favourable Bishop Score, duration of the active phase of labour and the rate of Caesarean sections.

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Comparative study of induction of labour with Foley's catheter inflated to 30 mL versus 60 mL

Cited by 5 publications

References 2 publications

Increased single‐balloon Foley catheter volume for induction of labor and time to delivery: a systematic review and meta‐analysis

Increased single‐balloon Foley catheter volume for induction of labor and time to delivery: a systematic review and meta‐analysis

Comparative study of pharmacological and combined pharmaco-mechanical method of induction of labour: a randomised study

Profiling cervical ripening for induction of labour with Foley’s balloon catheter in Ebonyi state, Nigeria: a randomized controlled trial

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