The Use of Foley's Catheter in Ripening the Unfavourable Cervix Prior to Induction of Labour

Ezimokhai, M.; Nwabineli, J. N.

doi:10.1111/j.1471-0528.1980.tb04540.x

Cited by 57 publications

(23 citation statements)

References 15 publications

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“…The need for oxytocin augmentation was 39 (78%) in group 1 and 32 (68%) in group 2 in agreement with other studies [12][13][14]. Foley catheter is as effective as vaginal prostaglandin in enhancement of inducibility, with similar induction to delivery intervals and outcomes of labour.…”

Section: Discussionsupporting

confidence: 79%

“…Ezimokhai and Nwabinelli [12] found that ripening effect of a Foley catheter on the cervix in 21 primigravida to be similar to that of 5 mg of PGE2 in vaginal gel in 14 primigravida. No complication was attributable to the use of either method but the Foley catheter was considered advantageous in its ease of use, economical and ready availability.…”

Section: Discussionmentioning

confidence: 99%

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

Dahiya¹,

Malik²,

Dahiya³

et al. 2012

IJCM

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Objective: The purpose of this study was to compare the efficacy of extra-amniotic Foley catheter with intra cervical Dinoprostone gel for preinduction cervical ripening. Study Design: A randomized, prospective study was conducted in the Department of Obstetrics and Gynecology, PGIMS Rohtak on 100 pregnant women admitted for induction of labor. Fifty patients were randomized to receive Dinoprostone gel and 50 patients to receive intracervical, extra-amniotic Foley catheter. Results: The two groups were comparable with respect to maternal age, parity, gestational age, indication for induction, and initial Bishop scores. Both groups had a significant change in Bishop score (4.18 ± 1.81 and 4.6 ± 1.48 respectively, p < 0.001); however, there was no significant difference between the groups. Mean duration of induction to delivery was 18.51 ± 8.52 in Foley catheter group and 18.21 ± 11.13 in prostaglandin group, the difference being statistically insignificant. Among 50 cases of prostaglandin only single dose was sufficient for 23 (46%) cases to induce labor. But in 27 (54%) cases 2nd dose of prostaglandin were required. The expenditure of intervention showed that Rs. 325 were required for induction by prostaglandin as compared to Rs. 60/-for Induction by Foley's catheter and the difference was highly significant statistically There was no difference between the groups in mode of delivery, infant weight, apgar score and intrapartum complications. Conclusion: In conclusion, although both Foley catheter and dinoprostone gel appear to be effective agents for cervical ripening. Foley catheter causes less fetal distress, cheap and safety profile of Foley catheter is such that it can be used on an out patient basis, but not dinoprostone gel. These results make Foley catheter comparable or even superior to dinoprostone gel for cervical ripening specially in developing countries.

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Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

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

Dahiya¹,

Malik²,

Dahiya³

et al. 2012

IJCM

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“…Preinduction of cervical ripening with intravaginal or intracervical prostaglandins applied through a Foley catheter was described by Calder et al [3] and later by McKenzie et al [4]. Many retrospective comparisons between prostaglandin application and the intrauterine catheter for preinduction of cervical ripening showed a similar efficacy [5][6][7][8][9]. In a prospective randomized study, Onge and Connors [10] compared labor inductions with intracervical prostaglandin E 2 and the intrauterine balloon catheter, and found no significant difference in any of the parameters tested.…”

Section: Discussionmentioning

confidence: 99%

Case Series of Labor Induction inTwin Gestations with an IntrauterineBalloon Catheter

Manor

Blickstein²,

Ben-Arie³

et al. 1999

Gynecol Obstet Invest

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The efficacy and safety of labor induction using an intrauterine balloon catheter in twin pregnancies has been evaluated. During the study period (1992–1997), labor was induced at 36–42 weeks in 17 twin gestations. Labor induction was indicated for preeclampsia (n = 10), birth weight discordance (n = 3), suspected fetal distress (n = 2) and postdates (n = 2). Twin A was in vertex presentation in all cases. An intrauterine balloon catheter was inserted transcervically followed by augmentation whenever required. Vaginal delivery was achieved in 15 (88.2%) patients. The mean interval from balloon insertion to delivery was 17.05 h, with 80% deliveries occurring within 24 h of catheter insertion and 80% occurring within 12 h of catheter expulsion. Birth weight was 2,514 ± 244 and 2,421 ± 367 g for twin A and B, respectively. Oxytocin was required in 4 patients. Postpartum hemorrhage was noted in 1 patient. One patient with no progress of labor and 1 with suspected intrapartum fetal distress required cesarean section. All neonates had a 5-min Apgar score of 10. The data suggest that an intrauterine balloon catheter appears to be safe and effective to induce labor in twin gestations.

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“…8,9 What is yet to be determined is how long such a catheter can be safely placed in the cervical canal until the cervix becomes favourable. Equally important is the issue of cervical ripening before 37 completed weeks of gestation.…”

Section: Introductionmentioning

confidence: 99%

“…An earlier study from our department reported the safe use of the catheter for cervical ripening in the presence of fetal demise. 8 The objective of this present work was to determine how long the extra-amniotic catheter balloon can remain when used for cervical ripening before its spontaneous expulsion or removal by traction.…”

Section: Introductionmentioning

confidence: 99%

Cervical Ripening: How Long Can the Foley Catheter Safely Remain in the Cervical Canal?

Ekele

Isah

2002

African Journal of Reproductive Health

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This was a prospective study involving 85 patients admitted for induction of labour with unfavourable cervix at Usman Danfodiyo University Teaching Hospital, Sokoto, Nigeria. A size 16-20 Foley catheter was passed transcervically into the extra-amniotic space under aseptic technique and the balloon inflated with 30-50mls sterile water. Each patient was placed on prophylactic antibiotics. The balloon was expelled within 12 hours in 22 (39%) patients. Twenty eight patients expelled the balloon in 12-24 hours, 14 in 25-48 hours, 6 in 49-72 hours and 4 after 72 hours. The average duration of catheter placement when the gestational age was 20-27 weeks was 44.8 hours, which was significantly longer than 19.6 hours obtained for term pregnancies (p << 0.05). Induction of labour was successful in 77 (91%) patients and there was no significant maternal morbidity. The results of our study suggest that the balloon of the Foley catheter can safely remain in the extra-amniotic space longer than 24 hours for cervical ripening if the cervix is unfavourable, provided the membranes are intact and the feto-maternal

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The Use of Foley's Catheter in Ripening the Unfavourable Cervix Prior to Induction of Labour

Cited by 57 publications

References 15 publications

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

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

Case Series of Labor Induction inTwin Gestations with an IntrauterineBalloon Catheter

Cervical Ripening: How Long Can the Foley Catheter Safely Remain in the Cervical Canal?

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