Induction of Labor in Post Dated Pregnancy with Intra-cervical Foley Catheter in Antenatal Ward (original) (raw)
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Evidence Based Womenʼs Health Journal, 2020
Background: Labor induction is the initiation of labor at a viable pregnancy duration by artificial means, and occurs before the spontaneous onset of labor. The goal of labor induction is to achieve a timely and uncomplicated vaginal delivery with minimal adverse effects on the mother or newborn.Objective: To compare the efficacy of the use of foleys catheter with either misoprostol or placebo to improve induction to delivery interval in women with unfavorable cervix undergoing induction of labor. Patients and Methods: The present study is a randomized double blind controlled study that was conducted at Maternity hospital of Ain Shams university. The study included 100 candidates on 4 equal goups:50 nulliparas randomized into 2 groups and 50 multiparas randomized into 2 groups. Each group underwent labor induction by Foleys catheter and Misoprostol or placebo.Results: labor stages were significantly shorter in combined group than in Foley's group,but no significant difference in...
2017
Materials and Methods: A two year study was conducted at Yenepoya medical College Hospital Derelakatte Mangalore. Study evaluated fifty women presenting for induction of labour with Bishops score less than five. All were 18 years of age or older with singleton pregnancy at or beyond 37 completed weeks of gestation. All women had a 16F Foleys catheter inserted through the cervix into the lower uterine segment. The bulb was inflated with a 60ml of normal saline, the Foleys was left in place for 10-12 hours unless membranes ruptured or it fell off spontaneously. 25 out of the 50 women had 200ml normal saline infused through catheter through the distal port. Results: All 50 showed Bishops score above 6 after a minimum of 10 hours. The average time for induction to vaginal delivery was similar in both groups (17.2 hours in Foleys and 16.8 hours in EASI), (p value <0.5). There was no statistically significant difference between two the two groups in change of BISHOP score, however each...
BACKGROUND Induction of labor (IOL) can be defined as the artificial initiation of labor, before its spontaneous onset, for the purpose of delivery of the fetoplacental unit 1. Need for mandatory induction of preterm labor is increasing with the increasing incidence of hypertensive disorders, diabetes mellitus, oligohydramnios, intra uterine fetal deaths (IUFD), eclampsia, and lethal congenital anomalies. OBJECTIVES 1. To assess the clinical profile of the patient undergoing preterm induction of labor. 2. To determine the efficacy and safety profile of the two common methods of induction,namely intrauterine Foley's catheter alone and intrauterine Foley's catheter along with intracervicalDinoprostal gel METHODS The study was conducted in Gandhi Hospital from November 2017 to April 2019. 100 women who underwent preterm mandatory induction of labor were taken into the study. RESULTS Thepost induction Bishops score, mean time taken for bulb expulsion, induction to delivery interval and rate of failed induction was statistically significant. 1) The post induction Bishops scores were 5.66 and 6.38 respectively in induction with Foleys catheter and Foleys with Dinoprostone gel groups. 2) The mean time for bulb expulsion was 17 and 10.95 hours respectively. 3) The mean time of induction to delivery interval was 24.06 and 17.82 hours respectively. 4) Out of 50 cases in each group 7 cases underwent deflation of Foleys bulb after 24 hours in Foleys group and 4 underwent deflation in Foleys with Dinoprostone gel group. Thus, we conclude that preterm induction of labor by Foleys catheter with Dinoprostone gel was superior to Foleys catheter alone in terms of induction to delivery interval without affecting caesarean section rate, hyperstimulation, chorioamnionitis, endometritis and other complications. CONCLUSION Our study involved comparing the efficacy of Foleys catheter with combined method i.e., Foleys with Dinoprostone gel, showed that combined method was more superior than Foleys alone in terms of induction delivery interval without any complications when prompt delivery is necessitated.
Background Induction of labor is defined as iatrogenic stimulation of uterine contractions to cause the delivery of fetus before the onset of spontaneous labour. An unfavorable cervix is a critical factor the obstetrician must overcome to improve the efficacy of induction of labor. At present, both medical and mechanical methods have been applied for cervical ripening in women with an unfavorable cervix. In developing countries like Ethiopia, conventionally cheap and feasible method used for preinduction cervical ripening is transcervical Foley’s catheter and misoprostol become practically important. So this study is designed to investigate the effectiveness of the most commonly ripening techniques (Foley catheter and vaginal misoprostol) in Gedeo zone. Method This is a quasi-experimental study to compare the effectiveness of Foley catheter and vaginal misoprostol for cervical ripening for labor induction. It was conducted in 120 pregnant mothers coming for induction who fulfil the ...
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2021
Background: Labour is clinically defined as the initiation and perpetuation of uterine contraction with goal of producing progressive cervical effacement and dilatation. The Foley’s catheter is an effective alternative to prostaglandins for cervical ripening/labour induction. Study was done to compare the efficacy of intracervical Foley’s catheter and PGE2 gel as a cervical ripening agent and to study maternal and fetal outcome in terms of mode of delivery and Apgar score.Methods: This randomized controlled study was conducted in Obstetrics and Gynaecology department, Government Medical College, Patiala. 200 women with indication for induction of labour were enrolled in the study to investigate the efficacy and fetomaternal outcome of induction of labour with intracervical Foley’s catheter comparing with PGE2 gel.Results: The mean age in group A was 24.41±3.37 and in group B was 24.24±3.17 years. The 95% women were induced successfully in group A and 97% were successfully induced in...
International Journal of Advanced Research (IJAR), 2019
Introduction:Induction of labour is an intervention after 28 weeks of gestation, intended to artificially initiate uterine contractions resulting in the progressive effacement and dilatation of the cervix and ending in vaginal delivery. Sometimes because of medical or obstetric complications of pregnancy, cervical ripening and induction of labour is often required. Induction of labour is indicated when the benefits to either the mother or fetus outweigh those of continuing the pregnancy [1]. Aim Of The Study:To compare efficacy and safety of intracervical Foley?s balloon catheter with intracervical prostaglandin E2 gel (dinoprostone) for induction of labour. Objectives:To compare cervical ripening, induction-delivery interval, mode of delivery, maternal complications and fetal outcome by two methods. Materials And Methods:Prospective randomized controlled study. SAMPLE SIZE- Each group 50, determined by statistical analysis. Successful induction considered if the patient entered the active phase of labour/ bishop score 6. Result:In present study, both groups were comparable in age distribution. In both the groups, most of the study subjects were between the age group of 18-25 years (76% in pgE2 v/s 70% in Foley?s catheter group). Mean age in PGE2 gel group was 23.20?3.03 years while Mean age in Intra-Cervical Foley?s Catheter group was 23.92?3.11 years. Mean gestational age in PGE2 gel group was 39.12?1.33 weeks compared to 39.06?1.18 weeks in Intra-Cervical Foley?s Catheter group. At start of induction mean Bishop score was 1.62?1.10 in PGE2 gel group while it was 1.58?1.01 in Intra-Cervical Foley?s Catheter group. Deshmukh V et al also reported similar pre-induction mean Bishop score (1.48?0.67 in Foley?s Catheter group v/s 1.59?0.59 in pgE2 gel group). In our study, post-induction mean Bishop score at 6 hours was 6.56?2.13 in PGE2 gel group while it was 4.70?2.21 in Intra-Cervical Foley?s Catheter group. Mean change in Bishop score between 0 to 6 hours was significantly higher in pgE2 gel group (4.94?1.78) compare to Foley?s catheter group (3.12?1.78). The rate of LSCS in pgE2 gel group was 10% and 32% in Foley?s catheter group respectively. The induction delivery interval showed significantly higher time in intracervical Foley?s catheter groups. The mean induction delivery internal was 13.80?3.83 hrs in Foley?s group and 9.65?2.13 hrs in PGE2 group. In our study, common maternal complication observed were Intrapartum pyrexia (1 case in pgE2 gel group and 8 cases in Foley?s catheter group) and puerperal pyrexia (1 case in pgE2 gel group and 4 cases in Foley?s catheter group). 1 case of hyperstimulation was also seen in pgE2 gel group. Apart from that we have not seen any other complication in mothers. The present study shows that the fetal outcome results were also comparable in both the groups. Conclusion:The results of this trial tended to favor the prostaglandins use over Foley catheter use. The main advantage of the PGE2 gel is that early ripening of cervix, lesser caesarean rate and infection rate as compared to the Foley?s catheter while disadvantage is higher chances of uterine hypertonicity or tachysystole. but Foley?s catheter mimicked the physiology of the labour onset more closely, resulting in a less likelihood of hyperstimulation, fetal heart rate abnormalities and postpartum hemorrhage. Now, there is recent trend of reintroducing the mechanical methods like the Foley catheter, as there is an availability of sterile devices, controlling one of the principal contraindications- infection. Such mechanical methods are advantageous in terms of their reversibility and the reduced expenditure. But Foley?s catheter has been linked with a possibility of infections in some larger studies. Thus, tremendous attention should be drawn towards carrying out aseptic measures while it is being inserted, to avoid maternal and probable neonatal infections.
The Journal of Medical Research
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.
Management of prolonged pregnancy by induction with a Foley catheter
Acta obstetricia et gynecologica Scandinavica, 2015
To describe labor outcomes in women with prolonged pregnancy and induction of labor with a Foley catheter, compared to women with spontaneous onset of labor. Retrospective study. Helsinki University Hospital. 553 women with uncomplicated prolonged pregnancies between January 2011 and January 2012, divided into 303 women (54.8%) with Foley catheter induction and 250 (45.2%) with spontaneous labor. Maternal and neonatal characteristics of women with uncomplicated singleton pregnancy of ≥41⁺⁵ weeks of gestation were analyzed. Cesarean delivery rates, maternal and neonatal morbidity. The cesarean delivery rate was 30.7% (n=93/303) in women with labor induction and 4.8% (12/250) in women with spontaneous onset of labor (p<0.001). The cesarean delivery rate among nulliparous women with labor induction was 37.3% (91/244) and 8.7% (11/126) among those with spontaneous labor, a six-fold increased risk (odds ratio 6.2). Among parous women cesarean section rates were low and not significant...
Effects Foley catheter placement to expedite the process of delivery
International Journal of Research in Medical Sciences, 2015
Stimulate labor is one of the most common and essential actions in obstetric and labor induction has been done in more than 15 percent of pregnancies and now amniotomy and oxytocin induction of labor are common methods. 1-3 The success of these approaches related to the degree of readiness of the cervix (cervical) and in unfavorable cervix with Bishop Score less than 6, the induction is common. 4 For the success of labor induction in inappropriate cervical addition to the preparation medication methods like prostaglandin E 2 , the mechanical methods such as Foley catheter can be used. 5 Prostaglandin E 2 has been better the preparation of the cervix physiologically by increasing the water under cervical mucus and change collagen bands and increase the uterine myometrium sensitivity to oxytocin. 6-7 Foley catheter through the cervix is an effective, low-cost and uncomplicated method which locally stimulates the release of prostaglandins by press at the top of the inner ABSTRACT Background: Finding a suitable procedure in cases requiring termination of pregnancy without having a ready cervix to induction of labor, is a considerable problem in midwifery. The aim of this study was to compare the effect of Foley catheter placement with oxytocin to expedite the process of delivery. Methods: This is an interventional study. In this study, patient information including age, gestational age, residence place, education, induction time, induction complications, cesarean delivery after induction were entered in a checklist. Collected data analyzed by descriptive and analytical statistical methods in SPSS.16. Results: In this study 100 pregnant women were enrolled in two equal size groups, case (receiving a Foley catheter and oxytocin) and control (receiving oxytocin), each with 50 patient. The mean age of cases was 24.7±3.4 years and controls were 23.9±2.3 years and the most prevalent age group in both was 20-30. In cases 14 % and in controls 12 % were with underlying disease and 14% of women in case group and 24% of women in control group had narrowing of vaginal canal. The most common reason for starting induction in cases was lack of progress in labor and in controls dilation of delivery. The mean gestational age in cases was 39.9±1.9 and in control 39.2±1.8 weeks. In relation to dilatation progress, results showed that in cases individuals reached to full dilatation early and this difference was, in cases 14 % and in controls 22% of deliveries are ended to caesarean. 14% of deliveries in cases and 22% in controls are ended to Caesarean section. There was no significant difference between two groups in birth time Apgar score and 5 minutes after birth time. Conclusions: Results showed that, Foley catheter could significantly reduce induction time significantly and resulted to faster labor but did not reduce the rate of caesarean.