Journal of South Asian Federation of Obstetrics and Gynaecology

Register      Login

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


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).


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.

PDF Share
  1. Heinemann J, Gillen G, Sanchez-Ramos L, Kaunitz AM. Do mechanical methods of cervical ripening increase infectious morbidity? A systematic review. Am J Obstet Gynecol 2008 Aug;199(2):177-187.
  2. National Institute for Clinical Excellence. Clinical guidelines for induction of labor, Appendix-E. London: NICE; 2001.
  3. Yates J. Foley's catheter is as effective as prostaglandins for induction of labour. OBG Manag 2011 Nov;23(11).
  4. St Onge RD, Connors GT. Preinduction cervical ripening: a comparison of intracervical PGE2 gel versus the Foley catheter. Am J Obstet Gynecol 1995 Feb;172(2 Pt 1): 687-690.
  5. Owolabi AT, Kuti O, Ogunlola IO. Randomised trial of intravaginal misoprostol and intracervical Foley catheter for cervical ripening and induction of labour. J Obstet Gynaecol 2005 Aug;25(6):565-568.
  6. Adeniji OA, Oladokun A, Olayemi O, Adeniji OI, Odukogbe AA, Ogunbode O, Aimakhu CO, Omigbodun AO, Ilesanmi AO. Pre-induction cervical ripening: transcervical Foley catheter versus intravaginal misoprostol. J Obstet Gynaecol 2005 Feb;25(2):134-139.
  7. Prager M, Eneroth-Grimfors E, Edlund M, Marions L. A randomised controlled trial of intravaginal dinoprostone, intravaginal misoprostol and transcervical balloon catheter for labour induction. BJOG 2008 Oct;115(11):1443-1145.
  8. Rozenberg P, Chevret S, Goffinet F, Durand-Zaleski I, Ville Y, Vayssiière C, Roberto A, Lahna Z, Nisand I, Fisch C, et al. Induction of labour with a viable infant: a randomised clinical trial comparing intravaginal misoprostol and intravaginal dinoprostone. Br J Obstet Gynaecol 2001 Dec;108(12):1255-1262.
  9. Barrilleaux PS, Bofill JA, Terrone DA, Magann EF, May WL, Morrison JC. Cervical ripening and induction of labor with misoprostol, dinoprostone gel, and a Foley catheter: a randomized trial of 3 techniques. Am J Obstet Gynecol 2002 Jun;186(6):1124-1129.
  10. Afolabi BB, Oyeneyin OL, Ogedengbe OK. Intravaginal misoprostol versus Foley catheter for cervical ripening and induction of labor. Int J Gynaecol Obstet 2005 Jun;89(3): 263-267.
  11. Ziyauddin F, Hakim S, Beriwal S. The transcervical Foley catheter versus the vaginal prostaglandin E2 gel in the induction of labour in a previous one caesarean section—a clinical study. J Clin Diagn Res 2013 Jan; 7(1):140-143.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.