Comparison of the Efficacy of Foley Catheter Balloon with Dinoprostone Gel for Cervical Ripening at Term

Dahiya, Kiran; Malik, Kanika; Dahiya, Archit; Nanda, Smiti

doi:10.4236/ijcm.2012.36095

Cited by 7 publications

(15 citation statements)

References 11 publications

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“…Although there was no statistically significant difference in the adverse events reported quantitatively, events like uterine hyper stimulation and hypertonus were reported only in the dinoprostone group while premature rupture of membranes was reported only in Foleys catheter group. 17 Another study conducted at Rothak also shows that only patients in the dinoprostone group experienced hyperstimulation. [17] Difference in pharmacodynamics of Foleys catheter and PGE2 gel may partly explain the qualitative difference observed in type of adverse events.…”

Section: Discussionmentioning

confidence: 96%

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Intracervical foleys catheter: Can it serve as an alternative to standard pharmacological method of cervical ripening?

Murthy

Teje

2017

Int J Basic Clin Pharmacol

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Background: Ripening of cervix is a prerequisite for successful labour induction. Use of prostaglandins for this purpose incurs a high risk of uterine hyperstimulation and a relatively higher cost of treatment. intracervical Foleys catheter insertion is a mechanical method stated in literature. The present study was to compare the efficacy and safety and cost of intracervical Foleys catheter balloon insertion with intracervical dinoprostone application for preinduction cervical ripening in patients requiring labour induction at term.Methods: This was a randomized, parallel group, active controlled study conducted in the obstetrics department of a tertiary care centre over a duration of one year. Group A received Dinoprostone cervical gel 0.5mg instilled in the cervical canal. Maximum of three doses (1.5mg dinoprostone) could be administered 6 hours apart. Patients randomized to group B were subjected to Foleys catheter insertion. Foleys catheter number 16 was used and balloon was inflated with 60ml of water. Primary efficacy parameter was change in Bishops score as compared to baseline and safety was monitored by comparing the total number of adverse events in the two groups.Results: Total of 89 patients were enrolled into the study during one year period out of which 45 received dinoprostone gel and 44 received Foleys catheter insertion respectively. Change in Bishops score, mode of delivery and total number of maternal and foetal adverse events did not differ significantly between the two groups.Conclusions: Efficacy and safety of Foleys catheter as a cervical ripening agent prior to induction of labour is comparable to dinoprostone gel. Since use of Foleys catheter is advantageous in terms of lack of specific storage conditions and cost of treatment, it could be considered a cost effective alternative for preinduction cervical ripening.

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Section: Discussionmentioning

confidence: 96%

“…17 Another study conducted at Rothak also shows that only patients in the dinoprostone group experienced hyperstimulation. [17] Difference in pharmacodynamics of Foleys catheter and PGE2 gel may partly explain the qualitative difference observed in type of adverse events.…”

Section: Discussionmentioning

confidence: 96%

Intracervical foleys catheter: Can it serve as an alternative to standard pharmacological method of cervical ripening?

Murthy

Teje

2017

Int J Basic Clin Pharmacol

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“…Krishna Dahiya et al found no difference between the 2 groups in terms of induction to delivery interval and mode of delivery. 13 Sciscione et al No difference between the 2 groups was noted in terms of mode of delivery, infant weight, rate of hyper stimulation, shoulder dystocia, patient discomfort, epidural use, oxytocin use or non-reassuring fetal heart pattern. 14 The only complication noted was fetal distress in both the groups which constituted 25.97% and 13.33% in Foley's and Dinoprostone gel group respectively.…”

Section: Reshme N Et Al Int J Reprod Contracept Obstet Gynecol 2017mentioning

confidence: 98%

“…9,10 Rabindranath et al obtained better results with Foley's catheter labour induction. 11 In a randomised prospective study on 200 patients by Deshmukh et al 12 the change in Bishop Score at the end of 6 hours was 5.56±1.89 and 5.49±1.82 with p value <0.001 for Foley's catheter and Dinoprostone group respectively, which was significant in itself but no difference was found between the 2 groups.…”

Section: Reshme N Et Al Int J Reprod Contracept Obstet Gynecol 2017mentioning

confidence: 99%

“…Both showed a significant change in Bishop Score with resulting p value<0.001, however no significant difference was noted between the 2 groups. 13 Sciscione et al conducted a prospective randomised study comparing Foley's catheter and PGE2 gel for cervical ripening on 77 and 72 patients respectively. They noted a significant change in Bishop Score in Foley's group after induction (p<0.001) and change in Bishop score (p -0.015) which was higher than the other group.…”

Section: Reshme N Et Al Int J Reprod Contracept Obstet Gynecol 2017mentioning

confidence: 99%

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Induction of labour: a randomized controlled trial

Reshme¹,

Samal²,

Padmaja³

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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Background: Clinical trial between Foley’s catheter and Dinoprostone gel for change in Bishop Score after 12 hours of labour induction, mode of delivery, maternofoetal outcome and cost effectiveness. Induction of labour is necessary if the woman does not get timely, adequate and appropriate labour pains. Bishop’s score is used to assess cervical ripening. Hence, we note the change in Bishop Score after 12 hours of labour induction to assess the success rates, time taken for active labour and delivery, maternofoetal outcome and the cost effectiveness.Methods: Block randomized controlled clinical trial between Foley’s catheter and dinoprostone gel for a sample size of 76 in each group was done.Results: In women administered dinoprostone gel, there was significant change in Bishop score with a mean score of 7. Shorter induction active labour interval and induction delivery interval proved it to be a faster inducing agent. No significant difference was noted in terms of mode of delivery. A higher rate of fetal distress was noted in Foley’s group probably as a result of prolonged labour and need for further augmentation with oxytocin for a long duration.Conclusions: In terms of cost of labour Dinoprostone gel though more expensive than the Foley’s catheter, eventually proved to be equally economical for the patients considering the faster labour induction, considerable vaginal delivery rates and hence shorter stay in hospital.

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A comparative study of single and double dose of intracervical Prostaglandin E2 gel for cervical ripening

Parate¹,

Fidvi²

2015

Int J Med Res Rev

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Introduction: Induction of labour should be safe for both the mother and baby that is a method with short induction delivery interval, absence of side effects and conveniences for both the patients and medical staffs. A lamp of success was lit with the introduction of prostaglandins, one of the factor that influences successful induction of labor. Material & methods: A case control study was carried out in department of obstetrics and gynecology in tertiary care teaching hospital of North India. A total 100 patients were taken in two groups, 50 patients of study group were induced with two doses of PGE2 gel, 6 hours apart and 50 patients of control group were induced with single dose of PGE2 gel given intracervically. Results: In this study age group of the patients ranges from 18-35 years and the parity was up to para 4. It was evident that major indication of induction of labor was PIH and post dated pregnancies. All the patients had Bishop score 4 or less indicating an unripe cervix. There was significant increase in mean Bishop score after second dose instillation in study.ie 6.84 as compared to control group where second dose were not instilled. Mean induction delivery interval in study group is 13.14 hrs as compared to controls 16.37 hrs. 25 out of 50 patients in study group delivered within 12 hrs as compared to 6 out of 50 patients in control groups. Conclusion: The above study concluded that intracervical double dose of PGE2 gel is significantly effective for pre induction cervical ripening and 94% of patients went into labor spontaneously without requiring stimulation by other oxytosis.

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Comparison of the Efficacy of Foley Catheter Balloon with Dinoprostone Gel for Cervical Ripening at Term

Cited by 7 publications

References 11 publications

Intracervical foleys catheter: Can it serve as an alternative to standard pharmacological method of cervical ripening?

Intracervical foleys catheter: Can it serve as an alternative to standard pharmacological method of cervical ripening?

Induction of labour: a randomized controlled trial

A comparative study of single and double dose of intracervical Prostaglandin E2 gel for cervical ripening

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