The Transcervical Foley Catheter Versus the Vaginal Prostaglandin E2 Gel in the Induction of Labour in a Previous One Caesarean Section – A Clinical Study

Abstract

In this study, both the modes of induction in women with previous one caesarean sections were safe, simple and effective. The main advantages of the cervical ripening with the Foley catheter over the Prostaglandin E2 gel are the low cost, reversibility and the lower risk of systemic and serious side effects like uterine hyperstimulation and rupture, as well as it induces a significant ripening and dilatation of the cervix and a shorter induction to the delivery interval. So, the cervical ripening effect of the Foley catheter is as good as that of the Prostaglandin E2 gel in women with previous one caesarean sections.

A comparative study of induction of preterm vaginal delivery at 20 to 28 weeks gestation in previous one lower segment caesarean section by foley catheter and prostaglandin E2 gel

“…3 The mechanical methods stimulate the endogenous prostaglandin production, thus ripening the cervix. 4 The mean time interval of induction to delivery of foley catheter (group A) was 20.18±3.34 hrs. Whereas in prostaglandin E2 (group B) was 24.05±3.65 hrs.…”

“…In similar study done by Farah Ziyauddin et al in seventy women with singleton pregnancies at term, with previous one lower segment caesarean section and by Yossi Mizrachi et al on 346 nulliparous women resulted that the induction to the delivery interval was shorter with the Foley catheter as compared to the PGE2 gel. 4,6 Induction of labour in previous one caesarean section offers distinct advantages over a repeat caesarean section since the operative morbidity and mortality are completely eliminated, the hospital stay is much shorter and expenses involved are much less. The rate of caesarean section needs to be reduced by resorting to a trial of vaginal delivery after previous caesarean section.…”

“…Similar studies done by Marta jozwiak et al and Farah Ziyauddin et al also found less complication during induction with mechanical method in previous one caesarean section. 4,9 Planned preterm VBAC has similar success rates to planned term VBAC but with a lower risk of uterine rupture (B). 8 Induction of labour using mechanical methods (amniotomy or Foley catheter) is associated with a lower risk of scar rupture compared with induction using prostaglandins (D).…”

“…3 Such mechanical methods are advantageous in terms of their re-versibility and the reduced expenditure. 4 …”

Features of women’s vaginal delivery with uterine scar at present stage

“…В оригинальном клиническом исследовании f. Ziyauddin et al описан опыт подготовки ро-довых путей у беременных с рубцом на матке путем интрацервикального введения катетера Фолея. Частота неудачной попытки консерва-тивного родоразрешения у пациенток данной группы составила 5,7 %, что в 2 раза ниже ча-стоты пациенток, подготовка шейки матки ко-торых проводилась путем интрацервикального введения препидил-геля [36]. О.А.…”