Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 10 , ISSUE 1 ( January-March, 2018 ) > List of Articles

ORIGINAL ARTICLE

Mechanical Cervical Ripening with Foley Catheter Balloon: Rekindling a Forgotten Art

Mohit Agrawal, Neema Acharya, Amruta Gadge, Monisha Singh

Keywords : Foley's catheter, Mechanical cervical ripening, Misoprostol

Citation Information : Agrawal M, Acharya N, Gadge A, Singh M. Mechanical Cervical Ripening with Foley Catheter Balloon: Rekindling a Forgotten Art. J South Asian Feder Obs Gynae 2018; 10 (1):1-4.

DOI: 10.5005/jp-journals-10006-1548

Published Online: 01-02-2018

Copyright Statement:  Copyright © 2018; The Author(s).


Abstract

Introduction: Induction of labor is carried out in 20% of pregnancies in some countries. The success of induction of labor depends mainly upon the cervical ripening score. The most popularly used prostaglandins, misoprostol and dinoprostone, are effective in cervical ripening but have side effects of uterine hyperstimulation and fetal hypoxia, which may increase operative intervention and admissions to neonatal intensive care units. Mechanical dilatation is an age-old method that is safe and effective but lost its popularity with fear of chorioamnionitis. Aims and objectives: To study the efficacy and safety of Foley's catheter balloon as cervical ripening method when compared with misoprostol administered vaginally. Materials and methods: In this experimental study, 50 full-term patients with poor cervical score were included. They were divided into group I—those who received intracervical Foley and group II—those who received vaginal misoprostol. The cervical score was reassessed 24 hours later. Other variables like mode of delivery, fetal heart variability, and uterine hyperstimulation were also studied. Results: Both groups I and II showed improvement in cervical score. The occurrence of uterine hyperstimulation and fetal heart variabilities was less in group I. Conclusion: Mechanical cervical ripening with Foley's balloon catheter is as effective and safer compared with msoprostol when used for preinduction cervical ripening in full-term patients.


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