Foley Catheter Versus Vaginal Prostaglandin E2 Gel for Induction of Labor at Term (PROBAAT Trial)

Jozwiak, Marta; Rengerink, Katrien Oude; Benthem, Marjan; Beek, Erik van; Dijksterhuis, Marja; Graaf, Irene M. de; Huizen, Marloes E. van; Oudijk, Martijn A.; Papatsonis, Dimitri; Perquin, Denise A. M.; Porath, Martina; Post, Joris A. M. van der; Rijnders, Robbert J.P.; Scheepers, Hubertina C.J.; Spaanderman, Marc E. A.; Pampus, M.G. van; Leeuw, J.W. de; Mol, Ben W J; Bloemenkamp, Kitty W. M.

doi:10.1097/ogx.0b013e318247c4ff

Cited by 4 publications

(6 citation statements)

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“…The study supports a low risk woman's option to go home after cervical ripening, by using a clearly defined protocol of patient selection, electronic fetal monitoring before and after ripening, and subsequent strict criteria for discharge. Hyperstimulation will always be a concern requiring care with prostaglandins, and the higher rate of HIE reported in both arms of this trial than the expected background rate may question whether prostaglandin cervical ripening agents should be used as the first choice in cervical ripening when balloon catheters or other agents with minimal hyperstimulation risk may be a more appropriate option with both inpatient and outpatient cervical ripening.…”

Section: Resultsmentioning

confidence: 89%

A randomised controlled trial of outpatient compared with inpatient cervical ripening with prostaglandin E₂ (OPRA study)

Wilkinson

Bryce

Adelson

et al. 2014

BJOG

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Objective To compare clinical outcomes from outpatient with inpatient cervical prostaglandin E2 ripening for low risk labour induction.Design Randomised controlled trial.Setting Two tertiary hospitals in Adelaide, Australia.Population Women with uncomplicated term pregnancies, scheduled for induction of labour for reasons of post-dates or for social reasons.Methods Eight hundred and twenty-seven women were randomised at induction decision to an outpatient or inpatient group. All women had CTG monitoring before and after vaginal PgE2 administration. The inpatient women were admitted and the outpatient group was discharged home overnight with instructions to return if labour established or rupture of membranes occurred. Next morning, outpatient women were admitted for rupture of membranes or further ripening. After membrane rupture, both groups received routine care.Main outcome measures Oxytocin use, maternal and fetal outcomes, and whether planned outpatient management was achievable.Results There were no significant differences in oxytocin use (2.5% difference, CIÀ4.3 to 9.4), caesarean sections (À0.59% difference, CIÀ6.3 to 5.1), epidural use (1.5% difference, CIÀ5.1 to 8.2), vaginal delivery within 24 hours (À8.2% difference, CIÀ17.6 to 1.3) or labour complications. More than half of the randomised women did not receive the intervention as they laboured spontaneously, or did not require ripening. The post-hoc analysis of women who received ripening also indicated no statistically significant differences in the patterns or results, with the exception of outpatient women having a longer mean length of active labour (mean difference 66 minutes, CI 4-128 minutes). Outpatient women who received ripening were diagnosed more frequently with non-reassuring CTG monitoring and hyperstimulation, with less than half of the women going home and remaining home overnight.Conclusions This study demonstrated no clinical advantage or disadvantage in prostaglandin E2 outpatient cervical ripening. Uterine stimulation following prostaglandins may preclude a woman from going home or remaining at home overnight and may not be the best agent for outpatient ripening.

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Section: Resultsmentioning

confidence: 89%

A randomised controlled trial of outpatient compared with inpatient cervical ripening with prostaglandin E₂ (OPRA study)

Wilkinson

Bryce

Adelson

et al. 2014

BJOG

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“…The use of Foley catheter for cervical ripening increase the risk of chorioamnionitis remained controversial [5] (Jozwiak et al, 2012). However, a meta-analysis on 26 randomized trials by McMaster et al [24] revealed that there is a similar rate of chorioamnionitis between cervical ripening with Foley catheter versus PGE2 (relative risk [RR] 0.96; 95% confidence interval [CI] 0.66-1.38).…”

Section: Discussionmentioning

confidence: 99%

“…The catheter works by mechanically stretching the cervical canal and causes release of prostaglandin which results in cervical changes [3] . Some studies applied no tension on Foley catheter [4][5][6][7][8][9] while others had described the method of applying tension by taping the transcervical catheter on the patient's inner thigh [3,[10][11][12][13][14][15][16][17][18] .…”

Section: Introductionmentioning

confidence: 99%

Induction of labour using Foley catheter: traction versus non-traction technique, a randomized prospective study

Ismail¹,

Nusee²,

Noh³

et al. 2018

J. Med. Res.

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Background: Cervical ripening of an unfavourable cervix can be achieved by placement of a transcervical Foley catheter. Objective: To assess the effectiveness of 750 ml traction on Foley catheter compared to no traction for labour induction. Study design: A randomized controlled trial performed on pregnant women at 37-41 week who were admitted for induction of labour with unfavourable cervix. They were randomly assigned into two groups, Foley's with 750 ml traction and and without traction. The primary outcomes were improvement in Bishop Score, number of favourable cervix following induction and the mode of delivery. The secondary outcomes were maternal pain score, neonatal outcome, and maternal infection. Results: A total of 160 women were randomized into traction group (n=80) and non-traction group (n=80). The mean change in Bishop Score was similar in both groups. Traction group had significantly (p=0.006) higher number of vaginal delivery (70%) compared to non-traction group. The rate of successful VBAC was also significantly (p= 0.001) higher in the traction group. Participants were comfortable using both methods with low pain score. There was no difference in neonatal outcomes and risk of maternal infections in both groups. Conclusion: application of traction did result in more vaginal delivery and successful VBAC without risk of maternal and neonatal infection.

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“…When contrasted with the use of prostaglandins, utilization of a Foley catheter has not been only less costly but also related to fewer anomalies of contraction pattern and fewer negative effects on the mother [8,9] . Foley catheters for labor induction may elevate maternal & and newborn infection risk due to foreign bodies entering the uterus through the cervix [24] .…”

Section: Introductionmentioning

confidence: 99%

Foley catheter for induction of labor after cesarean section

Said,

Atrash

2023

ijhs

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Induction of labor may be necessary in around twenty-five to thirty percent of a woman's subsequent pregnancies when she has already given birth through cesarean section. During our research, the objective had been to ascertain the rate of spontaneous vaginal birth, rate of cesarean section, and rate of complications that followed the induction of labor with transcervical foley catheter in females who had previously had 1 cesarean section. This retrospective cohort trial was performed in the largest city in Palestine at a tertiary teaching hospital. In subsequent pregnancy, pregnant cases with a history of a prior CS delivery (n = 306) underwent labor induction at term with a Foley catheter. Women who underwent labor induction with transcervical foley catheter at Al-Ahli Hospital in Hebron, Palestine. From April 2017 until March 2020. Our research revealed that 46.7 percent of women had spontaneous vaginal births, 14.4 percent had assisted vaginal births, and one woman experienced uterine rupture. The frequency of postpartum hemorrhage is 30 percent, the most prevalent complication. 10 percent and 5 percent of mothers experienced intrapartum and postpartum infections, correspondingly. 5% of newborns had a confirmed infection, and there was one perinatal fatality related to uterine rupture.

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Foley Catheter Versus Vaginal Prostaglandin E2 Gel for Induction of Labor at Term (PROBAAT Trial)

Cited by 4 publications

References 1 publication

A randomised controlled trial of outpatient compared with inpatient cervical ripening with prostaglandin E₂ (OPRA study)

A randomised controlled trial of outpatient compared with inpatient cervical ripening with prostaglandin E₂ (OPRA study)

Induction of labour using Foley catheter: traction versus non-traction technique, a randomized prospective study

Foley catheter for induction of labor after cesarean section

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Foley Catheter Versus Vaginal Prostaglandin E2 Gel for Induction of Labor at Term (PROBAAT Trial)

Cited by 4 publications

References 1 publication

A randomised controlled trial of outpatient compared with inpatient cervical ripening with prostaglandin E2 (OPRA study)

A randomised controlled trial of outpatient compared with inpatient cervical ripening with prostaglandin E2 (OPRA study)

Induction of labour using Foley catheter: traction versus non-traction technique, a randomized prospective study

Foley catheter for induction of labor after cesarean section

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Resources

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A randomised controlled trial of outpatient compared with inpatient cervical ripening with prostaglandin E₂ (OPRA study)

A randomised controlled trial of outpatient compared with inpatient cervical ripening with prostaglandin E₂ (OPRA study)