scholarly journals Cervical ripening methods for labor induction

2004 ◽  
Vol 4 (2) ◽  
pp. 125-133
Author(s):  
Fernanda Garanhani de Castro Surita ◽  
José Guilherme Cecatti ◽  
Fabiana Kruppa ◽  
Ricardo Porto Tedesco ◽  
Mary Ângela Parpinelli
Keyword(s):  
Foley Catheter ◽  
Labor Induction ◽  
Cervical Ripening ◽  
Anatomy And Physiology ◽  
The World ◽  
Very High

The indication for labor induction has been increasing in the world. It is known that cervical conditions are directly associated to the success of labor induction. Knowledge of cervix anatomy and physiology during pregnancy and of the different methods for cervical ripening is essential for indicating the best cervical ripening method in a given situation, therefore obtaining the best outcomes following labor induction. This is a challenge for obstetricians where not every method is readily available and accessible and C-sections rates are very high as in Brazil. Some methods are discussed in this paper including breast stimulation, membrane stripping, and the use of relaxin, oxytocin, prostaglandins, hyaluronidase, mifepristone, laminaria and Foley catheter.

Predictors of cesarean delivery in cervical ripening and labor induction with Foley catheter

2018 ◽  
Vol 33 (1) ◽  
pp. 62-67
Author(s):  
Beata Marciniak ◽  
Jolanta Patro-Małysza ◽  
Żaneta Kimber-Trojnar ◽  
Jan Oleszczuk ◽  
Bożena Leszczyńska-Gorzelak
Keyword(s):  
Cesarean Delivery ◽  
Foley Catheter ◽  
Labor Induction ◽  
Cervical Ripening

scholarly journals Intracervical Foley Catheter Plus Intravaginal Misoprostol vs Intravaginal Misoprostol Alone for Cervical Ripening: A Meta-Analysis

2020 ◽  
Vol 17 (6) ◽  
pp. 1825 ◽  
Author(s):  
Howard Hao Lee ◽  
Ben-Shian Huang ◽  
Min Cheng ◽  
Chang-Ching Yeh ◽  
I-Chia Lin ◽  
...  
Keyword(s):  
Induction Time ◽  
Neonatal Intensive Care ◽  
Meta Analysis ◽  
Foley Catheter ◽  
Cochrane Collaboration ◽  
Pooled Analysis ◽  
Labor Induction ◽  
Clinical Suspicion ◽  
Cervical Ripening ◽  
Meconium Staining

Currently, there is no meta-analysis comparing intravaginal misoprostol plus intracervical Foley catheter versus intravaginal misoprostol alone for term pregnancy without identifying risk factors. Therefore, the purpose of this study is to conduct a systematic review and meta-analysis of randomized control trials (RCTs) comparing concurrent intravaginal misoprostol and intracervical Foley catheter versus intravaginal misoprostol alone for cervical ripening. We systematically searched Embase, Pubmed, and Cochrane Collaboration databases for randomized controlled trials (RCTs) comparing intracervical Foley catheter plus intravaginal misoprostol and intravaginal misoprostol alone using the search terms “Foley”, “misoprostol”, “cervical ripening”, and “induction” up to 29 January 2019. Data were extracted and analyzed by two independent reviewers including study characteristics, induction time, cesarean section (C/S), clinical suspicion of chorioamnionitis, uterine tachysystole, meconium stain, and neonatal intensive care unit (NICU) admissions. Data was pooled using random effects modeling and calculated with risk ratio (RR) and 95% confidence interval (CI). Pooled analysis from eight studies, including 1110 women, showed that labor induction using a combination of intracervical Foley catheter and intravaginal misoprostol decreased induction time by 2.71 h (95% CI −4.33 to −1.08, p = 0.001), as well as the risk of uterine tachysystole and meconium staining (RR 0.54, 95% CI 0.30–0.99 and RR 0.48, 95% CI 0.32–0.73, respectively) significantly compared to those using intravaginal misoprostol alone. However, there was no difference in C/S rate (RR 0.93, 95% CI 0.78–1.11) or clinical suspicion of chorioamnionitis rate (RR 1.22, CI 0.58–2.57) between the two groups. Labor induction with a combination of intracervical Foley catheter and intravaginal misoprostol may be a better choice based on advantages in shortening induction time and reducing the risk of uterine tachysystole and meconium staining compared to intravaginal misoprostol alone.

scholarly journals Contrastive Analysis of Vaginal Misoprostol and Foley Catheter in Cervical Ripening and Labor Induction

2019 ◽  
Vol 4 (3) ◽  
pp. 105-110
Author(s):  
Shapoor Shoja ◽  
Seyedeh Reyhaneh Yousefi Sharami ◽  
Shole Shahgheibi ◽  
Farnaz Zand-Vakili ◽  
Shamsi Zare ◽  
...  
Keyword(s):  
Foley Catheter ◽  
Labor Induction ◽  
Cervical Ripening ◽  
Contrastive Analysis ◽  
Vaginal Misoprostol

scholarly journals Sublingual Misoprostol versus Foley catheter for cervical ripening in women with preeclampsia or gestational hypertension: A randomized control trial

2019 ◽  
Author(s):  
Sedigheh Ayati ◽  
Elahe Hasanzadeh ◽  
Leila Pourali ◽  
Mohammadtaghi Shakeri ◽  
Atiye Vatanchi
Keyword(s):  
Vaginal Delivery ◽  
Randomized Control Trial ◽  
Gestational Hypertension ◽  
Pregnancy Termination ◽  
Foley Catheter ◽  
Labor Induction ◽  
Cervical Ripening ◽  
Significant Difference ◽  
Sublingual Misoprostol ◽  
Randomized Control

Background: Delivery is the only definite cure for hypertensive disorders. Therefore, cervical ripening and labor induction are important to achieve favorable outcomes. Objective: This Randomized Control Trial (RCT) is aimed to compare the effects of sublingual misoprostol and Foley catheter in cervical ripening and labor induction among patients with preeclampsia or gestational hypertension. Materials and Methods: A total number of 144 women with preeclampsia or gestational hypertention with indication of pregnancy termination, who were referred to academic hospitals of the University of Medical Sciences in Mashhad, Iran, between March 2015 and December 2016, were randomly divided into two groups. In group one (n = 72), 25 μg of misoprostol tablet was administrated sublingually every 4 hr up to six doses. In group two (n = 72), a 16F Foley catheter was placed through the internal cervical os, inflated with 60 cc of sterile saline. Results: There were no significant differences between groups regarding the demographic characteristics, primary bishop score, and pregnancy termination indication. The cervical ripening time (primary outcome) (8.2 vs 14.2 hr, p < 0.00), induction to delivery interval (15.5 vs 19.9 hr, p < 0.00), and vaginal delivery before 24 hr (63.9% vs 40%, p = 0.03) were significantly different between the two groups. There was no significant difference between groups in view of oxytocin requirement (p = 0.12), neonatal Apgar score (p = 0.84), or neonatal intensive care unit admission (p = 78). Conclusion: This trial showed that the application of sublingual misoprostol, compared to the Foley catheter, can reduce cervical ripening period and other parameters related to the duration of vaginal delivery. This misoprostol regimen showed inconsiderable maternal complications.

The Association between Cervical Exam after Ripening with Foley Balloon Catheter and Outcomes of Nulliparous Labor Induction

2018 ◽  
Vol 35 (10) ◽  
pp. 1001-1005 ◽  
Author(s):  
Anna Palatnik ◽  
Danielle Peress ◽  
William Grobman ◽  
Ashley Battarbee
Keyword(s):  
Confidence Interval ◽  
Vaginal Delivery ◽  
Foley Catheter ◽  
Multivariable Analysis ◽  
Balloon Catheter ◽  
Labor Induction ◽  
Cervical Ripening ◽  
Bishop Score ◽  
Labor Duration ◽  
Nulliparous Women

Objective Evaluate the association between cervical examination after ripening with Foley catheter and labor induction outcomes. Materials and Methods In this retrospective cohort, nulliparous women with singleton, viable gestation undergoing cervical ripening with Foley catheter were compared based on cervical status after catheter removal or expulsion: favorable (modified Bishop score ≥ 5) or unfavorable (score < 5). Bivariable and multivariable analyses were performed to determine whether cervical examination postripening was associated with time to delivery and chance of vaginal delivery. Results A total of 774 women were eligible. Women with favorable examination postripening had lower body mass index (BMI) and more favorable admission cervical examination. The frequency of vaginal delivery was higher in women with favorable cervical examination postripening (57.9% versus 46.8%, p < 0.01). Median durations from Foley removal or expulsion to complete dilation (8.6 h versus 11.5 h) and vaginal delivery (10.4 h versus 13.2 h) were shorter for women with favorable cervical examination postripening (p < 0.001). In multivariable analysis, favorable examination postripening remained associated with vaginal delivery (adjusted odds ratio 1.39, 95% confidence interval 1.04–1.87), and time to vaginal delivery (adjusted hazard ratio 1.39, 95% confidence interval 1.13–1.70). Conclusion A favorable modified Bishop score after cervical ripening with Foley balloon catheter is associated with higher chance of vaginal delivery and shorter labor duration.

scholarly journals Vaginal Misoprostol Versus Intracervical Foley Catheter for Cervical Ripening in Postdate Primigravid Women: a Randomized Clinical Trial

2021 ◽  
Author(s):  
Nazanin Abdi ◽  
Azin Alavi ◽  
Forough Pakbaz ◽  
Hossein Darabi
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Neonatal Intensive Care ◽  
Placental Abruption ◽  
Foley Catheter ◽  
Fetal Distress ◽  
Labor Induction ◽  
Cervical Ripening ◽  
Cervical Canal ◽  
Vaginal Misoprostol

Abstract Background: Being one of the most common indications of labor induction, postdate pregnancy can lead to serious maternal and fetal complications. In this study we aimed to compare vaginal misoprostol with intracervical Foley catheter (FC) for cervical ripening in postdate primigravid women. Methods: This randomized clinical trial included 120 primigravid women aged 18-35 years with singleton and postdate pregnancies and Bishop score ≤4. Participants were randomized into two equal groups. The first group received 25 µg vaginal misoprostol and the second group had an 18 Fr FC inserted into their cervical canal. Labor induction was performed using oxytocin in both groups if progression of labor or true contractions did not occur within 6 hours of the interventions. In case of nonreassuring fetal heart rate, fetal distress, placental abruption, or prolonged labor, C-section was performed. Results: The frequency of NVD, C-section, meconium-stained amniotic fluid, and neonatal intensive care unit admission did not differ significantly between groups. Placental abruption and uterine tachysystole occurred more frequently in the misoprostol group (15.0 vs. 1.7%, P=0.008 and 21.7 vs. 0.0%, P<0.001, respectively). A significantly higher number of women in the FC group required oxytocin (73.3 vs. 41.7%, P<0.001). Duration of labor was significantly higher in the FC group (P=0.001). Conclusions: Due to the lower rate of placental abruption and uterine tachysystole observed with FC, it appears to be superior to vaginal misoprostol for cervical ripening in postdate primigravid women; however, its longer labor duration and higher oxytocin requirement should be taken into consideration. Trial registration: Iranian Registry of Clinical Trials, IRCT20181218042033N4. Registered 19/04/2020. Retrospectively registered, https://www.irct.ir/trial/47037

scholarly journals Vaginal misoprostol versus intracervical Foley catheter for cervical ripening in postdate primigravid women: a randomized clinical trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nazanin Abdi ◽  
Azin Alavi ◽  
Forough Pakbaz ◽  
Hossein Darabi
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Placental Abruption ◽  
Foley Catheter ◽  
Labor Induction ◽  
Cervical Ripening ◽  
Normal Vaginal Delivery ◽  
Cervical Canal ◽  
Link Type ◽  
Vaginal Misoprostol

Abstract Background Being one of the most common indications of labor induction, postdate pregnancy can lead to serious maternal and fetal complications. In this study we aimed to compare vaginal misoprostol with intracervical Foley catheter (FC) for cervical ripening in postdate primigravid women. Methods This randomized clinical trial included 120 primigravid women aged 18–35 years with singleton,  postdate pregnancies, and Bishop score ≤ 4. Participants were randomized into two equal groups. The first group received 25 µg vaginal misoprostol and the second group had an 18 Fr FC inserted into their cervical canal. Labor induction was performed using oxytocin in both groups if progression of labor or true contractions did not occur within 6 h of the interventions. In case of nonreassuring fetal heart rate, fetal distress, placental abruption, or prolonged labor, C-section was performed. Results The frequency of normal vaginal delivery, Cesarean section, meconium-stained amniotic fluid, and neonatal intensive care unit admission did not differ significantly between groups. Placental abruption and uterine tachysystole occurred more frequently in the misoprostol group (15.0 vs. 1.7%, P = 0.008 and 21.7 vs. 0.0%, P < 0.001, respectively). A significantly higher number of women in the FC group required oxytocin (73.3 vs. 41.7%, P < 0.001). Duration of labor was significantly higher in the FC group (P = 0.001). Conclusions Due to the lower rate of placental abruption and uterine tachysystole observed with FC, it appears to be superior to vaginal misoprostol for cervical ripening in postdate primigravid women; however, its longer labor duration and higher oxytocin requirement should be taken into consideration. Trial registration Iranian Registry of Clinical Trials, IRCT20181218042033N4. Registered 19/04/2020. Retrospectively registered, https://www.irct.ir/trial/47037

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