Use of Intracervical Foley Catheter for Induction of Labour in Cases of Previous Caesarean Section: Experience of a single tertiary centre in Oman

Abstract

abstract:Objectives: This study aimed to evaluate rates of success and perinatal complications of labour induction using an intracervical Foley catheter among women with a previous Caesarean delivery at a tertiary centre in Oman. Methods: This retrospective cohort study included 68 pregnant women with a history of a previous Caesarean section who were admitted for induction via Foley catheter between January 2011 and December 2013 to the Sultan Qaboos University Hospital, Muscat, Oman. Patient data were collected from electronic and delivery ward records. Results: Most women were 25-35 years old (76.5%) and 20 women had had one previous vaginal delivery (29.4%). The most common indication for induction of labour was intrauterine growth restriction with oligohydramnios (27.9%). Most women delivered after 40 gestational weeks (48.5%) and there were no neonatal admissions or complications. The majority experienced no complications during the induction period (85.3%), although a few had vaginal bleeding (5.9%), intrapartum fever (4.4%), rupture of the membranes (2.9%) and cord prolapse shortly after insertion of the Foley catheter (1.5%). However, no cases of uterine rupture or scar dehiscence were noted. Overall, the success rate of vaginal birth after a previous Caesarean delivery was 69.1%, with the remaining patients undergoing an emergency Caesarean section (30.9%). Conclusion: The use of a Foley catheter in the induction of labour in women with a previous Caesarean delivery appears a safe option with a good success rate and few maternal and fetal complications. Keywords

A study of outcome of induction of labour with foley’s balloon in previous LSCS cases

“…They recommend that if needed, mechanical induction should be used instead of medical induction by prostaglandins. 18 Most of the demographic data of the present study is similar to a study by Hazel Gonsalves et al 19 The number of women with history of vaginal delivery, age group of the patients, BMI are similar to our study, but their study involves mostly term patient's contrary to ours which has mostly pre term patients with obstetric complications. Younger age of the patients and previous vaginal delivery were the statistically significant determinants in their study on the success of induction whereas in our study, younger age of the patient, lesser gestational age and history of previous vaginal delivery showed statistical significance as the determinants of successful induction.…”

Use of intracervical Foley catheter for pre-induction cervical ripening in women planned for vaginal birth after previous caesarean section

“…This is in agreement with the induction done with Foley catheter by Sananes et al 26 Studies done by Hemalatha et al, Gonslaves et al, Ben-Aroya et al and also reported no case of uterine rupture. 22,25,27 In the present study, there were no cases of uterine hypertonicity and tachysystole. This is in agreement with the study done by Ziyyaudin et al, Hemalatha et al and Gonsalves et al 10,22,25 In the present study population of 24 subjects, only one case of vaginal bleeding was observed and emergency LSCS was done.…”

“…22,25,27 In the present study, there were no cases of uterine hypertonicity and tachysystole. This is in agreement with the study done by Ziyyaudin et al, Hemalatha et al and Gonsalves et al 10,22,25 In the present study population of 24 subjects, only one case of vaginal bleeding was observed and emergency LSCS was done. In the study done by Gonzalves et al, out of 68 study subjects, 4 women experienced vaginal bleeding following the insertion of the Foley catheter; 3 had minimal bleeding and subsequently underwent a successful VBAC, but one had heavy vaginal bleeding and foetal bradycardia, resulting in an emergency CS.…”

“…In the study done by Gonzalves et al, out of 68 study subjects, 4 women experienced vaginal bleeding following the insertion of the Foley catheter; 3 had minimal bleeding and subsequently underwent a successful VBAC, but one had heavy vaginal bleeding and foetal bradycardia, resulting in an emergency CS. 25 There was no case of intrapartum or postpartum maternal infection observed in the present study. A recent systematic review has also suggested that Foley catheter is not associated with an increased risk of infectious morbidity.…”

“…22 In the study done by Gonsalves et al, out of 68 study subjects, emergency CS were performed in 30.9% females, due to failure to progress (52.4%), nonreassuring fetal status (42.9%) and cord prolapse (4.8%). 25 In our study group, there was no case of uterine rupture. This is in agreement with the induction done with Foley catheter by Sananes et al 26 Studies done by Hemalatha et al, Gonslaves et al, Ben-Aroya et al and also reported no case of uterine rupture.…”