Induction of Labor in Post Dated Pregnancy with Intra-cervical Foley Catheter in Antenatal Ward

Introduction: Induction of labor is one of the commonest obstetric procedures done these days with the aim of normal vaginal delivery. Among the different methods, transcervical Foley catheter is one of them used with great success and less complications.Objective: This study assesses the effect of intra-cervical Foley catheter in induction of labor in post dated pregnancy.Methodology: This was a descriptive observational study. Patients admitted in antenatal ward of BP Koirala Institute of Health Sciences (BPKIHS) with period of gestation (POG) ≥ 41 weeks without any complications were taken. Patients were induced either with Foley catheter or directly with misoprostol. Patients induced with Foley catheter were included in the study. Sixteen French Gauge Foley catheter was inserted intracervically and bulb was inflated with 40- 60 ml of distilled water and observed for 24 hours. If patient didn't go into labor after 24 hours with or without Foley expulsion, patient was reassessed and prostaglandin was used for further induction. Structured Pro forma was used for data collection and collected data was analyzed using SPSS software 11.5.Results: During the study period 353 patients were induced with intracervical Foley catheter. Among them 97(27.48%) went to labor and 256 (72.52%) needed further prostaglandin. Among 97 patients who went to labor 80 had normal vaginal delivery, 16 underwent cesarean section and one patient had vacuum assisted vaginal delivery. There were nine patients who had delivered baby with meconium stained liquor. Four patients had postpartum hemorrhage and two patients had intrapartum fever. None of the patients had hyper stimulation syndrome but one patient had still birth.Conclusion: Intracervical Foley catheter is one of the options to induce the patient in postdatism for priming the cervix to increase the rate of normal vaginal delivery with less complications.BJHS 2018;3(1)5 : 338-341

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Sequential Foley Catheter and Misoprostol Versus Misoprostol Alone for Induction of Labor in Postdated Pregnancy: a Randomized Controlled Trial

Journal of BP Koirala Institute of Health Sciences ◽

10.3126/jbpkihs.v3i1.30342 ◽

2020 ◽

Vol 3 (1) ◽

pp. 105-112

Author(s):

Baburam Dixit Thapa ◽

Tara Manandhar ◽

Sarita Sitaula ◽

Tulasa Basnet

Keyword(s):

Vaginal Delivery ◽

Controlled Trial ◽

Foley Catheter ◽

Induction Of Labor ◽

Normal Vaginal Delivery ◽

Pharmacological Agents ◽

Sequential Group ◽

Vaginal Misoprostol ◽

Foley’S Catheter ◽

Time To Delivery

Introduction: Induction of labor is done with the aim of normal vaginal delivery. There are different methods; mechanical like intra-cervical Foley’s or pharmacological agents like misoprostol ordinoprostone. Objectives: To compare sequential use of Foley’s catheter and vaginal misoprostol in comparison with vaginal misoprostol only. Methods: Patients with period of gestation more than or equal to 41 weeks without any complications were assigned randomly according to computer generated randomization into sequential use ofintracervical Foley followed by vaginal misoprostol after 24 hours (sequential group) or vaginalmisoprostol only. Primary outcome was rate of normal vaginal delivery. Secondary outcomes were induction to delivery interval, maternal and fetal morbidity. Results: Rate of normal vaginal delivery in sequential group (n= 353) and misoprostol alone group(n= 356) was 71.6% and 53.3% (p < 0.001) but the time to delivery from induction is statistically more in sequential group (30.3 vs. 11.2 hours, p< 0.001). Maternal outcomes like postpartum hemorrhage, hyper-stimulation syndrome, chorioamnitis and neonatal outcomes like low Apgar score, meconium stained baby and stillbirth are similar in both the groups. Conclusions: The priming of cervix using intracervical Foley catheter before giving vaginalmisoprostol was beneficial in increasing the rate of normal vaginal delivery but it increased the induction to delivery interval.

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Comparative study between transcervical extra-amniotic Foley’s bulb and prostaglandin E2 gel for pre-induction cervical ripening

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20205461 ◽

2020 ◽

Vol 10 (1) ◽

pp. 119

Author(s):

Prajakta Goswami ◽

Kapil Annaldewar ◽

Deepali Giri ◽

Sachin Giri

Keyword(s):

Prostaglandin E2 ◽

Vaginal Delivery ◽

Foley Catheter ◽

Induction Of Labor ◽

Cervical Ripening ◽

Normal Vaginal Delivery ◽

Bishop Score ◽

Group A ◽

Foley’S Catheter ◽

Group B

Background: Induction of labor is an artificial initiation of uterine activity before the spontaneous onset of labor with the aim of achieving vaginal delivery. Various pharmacological and non-pharmacological methods have been studied for the purpose.Methods: This randomized prospective study conducted in the Department of Obstetrics and Gynaecology at the Seth V. C. Gandhi & M. A. Vora Municipal General Hospital (Rajawadi Hospital), Mumbai from June 2019 to April 2020. It included pregnant patients admitted to the labor ward for induction of labor. A total 200 women were recruited and randomly allocated to the two study groups fulfilling the following selection criteria. Of these, 100 women were included in Foley's catheter group (group A) and 100 in (group B) prostaglandin E2 (PGE2) group. Results: The subjects included mainly were of 24-28 years age group. The period of gestation was 37-42 weeks in majority of the women in both the groups. Maximum numbers of women in both groups were primigravidae, being 66% in group A and 70% in group B. Foley catheter proved to be a highly effective pre-induction ripening agent for unfavorable cervix, compared to PGE2 gel, as evident by the mean Bishop score at 12 hours (p<0.05) and by the difference in change of Bishop score over 12 hours (p<0.05) in both groups A and B. Women in both the groups had a high rate of normal vaginal delivery, rate being significantly more in Foley’s group.Conclusions: This study concludes that extra-amniotic Foley’s catheter balloon is an effective, safe, simple, low cost, reversible, non-pharmacological mechanical method of pre-induction cervical ripening.

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PAINLESS DELIVERY

The Professional Medical Journal ◽

10.29309/tpmj/2016.23.04.1508 ◽

2016 ◽

Vol 23 (04) ◽

pp. 467-471

Author(s):

Laleh Dehghanpisheh ◽

Golnar Sabetian ◽

Zeinabosadat Fatahi

Keyword(s):

Vaginal Delivery ◽

International Standards ◽

Normal Vaginal Delivery ◽

Natural Childbirth ◽

Mother And Child ◽

Spss Software ◽

Painless Labor ◽

Labor Method ◽

Study Setting ◽

Average Information

One of the most severe pain that a woman experiences in her lifetime is laborpain which leads to increase their desire to perform caesarean section. In the present study weassessed the attitudes and awareness of obstetricians and midwives by raising their knowledgeand skills, to increase the rate of vaginal delivery and reduce the cesarean. Methods: StudyDesign: Qualitative study. Setting: Obstetricians and Midwives from throughout the ShirazCity, South of Iran, were participated by completing the questionnaire. Period: 6 months in2015. Statistical analysis was performed using the SPSS software, version 20.0. The resultswere presented as frequency (percentage). Results: 118 individuals including 25 (21%)Obstetricians and 93 (79%) Midwives were participated in the current study. Both obstetriciansand midwives preferred normal vaginal delivery (NVD) (83.9%). 91% of subjects believed thatthe reason of preference of NVD is the safety of mother and child. 34.7% of individuals wasfully aware of painless labor. 21.2% had average information. Most of the subjects was agreedwith the painless labor method (92.4%) and 4.2% was disagreed. Lack of pain and calmnessduring labor (62.2%) and reduction of fear of natural childbirth (50.5%) were the main reasonsof agreements. 85.2% of obstetrics and midwives believed that the number of painless labor inIran in comparison to international standards is less than desired. Conclusions: Although themajority of obstetricians and midwives were agreed with the painless labor in hospitals, almosthalf of them were aware of the painless delivery. Raising the knowledge of health care providersabout painless delivery can influence on awareness and attitude of them and parturient towardnormal vaginal delivery.

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Foley Catheter versus Vaginal Misoprostol for Labour Induction

International Journal of Reproductive Medicine ◽

10.1155/2015/845735 ◽

2015 ◽

Vol 2015 ◽

pp. 1-4 ◽

Cited By ~ 7

Author(s):

Nasreen Noor ◽

Mehkat Ansari ◽

S. Manazir Ali ◽

Shazia Parveen

Keyword(s):

Vaginal Delivery ◽

Foley Catheter ◽

Labour Induction ◽

Sterile Saline ◽

Group I ◽

Catheter Group ◽

Uterine Hyperstimulation ◽

Spss Software ◽

Vaginal Misoprostol ◽

Foley’S Catheter

Objectives. To compare the efficacy and safety of intravaginal misoprostol with transcervical Foley catheter for labour induction.Material and Methods. One hundred and four women with term gestation, with Bishop score < 4, and with various indications for labour induction were randomly divided into two groups. In Group I, 25 μg of misoprostol tablet was placed intravaginally, 4 hourly up to maximum 6 doses. In Group II, Foley catheter 16F was placed through the internal os of the cervix under aseptic condition and then inflated with 50 cc of sterile saline. Statistical analysis was done using SPSS software.Results. The induction to delivery interval was 14.03 ± 7.61 hours versus 18.40 ± 8.02 hours (p<0.01). The rate of vaginal delivery was 76.7% versus 56.8% in misoprostol and transcervical Foley catheter group, respectively. Uterine hyperstimulation was more common with misoprostol. Neonatal outcome was similar in both the groups.Conclusion. Intravaginal misoprostol is associated with a shorter induction to delivery interval as compared to Foley’s catheter and it increases the rate of vaginal delivery in cases of unripe cervix at term. Transcervical Foley catheter is associated with a lower incidence of uterine hyperstimulation during labour.

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A comparative study of vaginal misoprostol, dinoprostone gel, foley catheter, extra amniotic saline infusion along with vaginal misoprostol for induction of labor at term

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20203840 ◽

2020 ◽

Vol 9 (9) ◽

pp. 3683

Author(s):

Ektha M. Shetty ◽

Asha Neravi

Keyword(s):

Cesarean Section ◽

Vaginal Delivery ◽

Foley Catheter ◽

Induction Of Labor ◽

Saline Infusion ◽

Bishop Score ◽

Number Of Patients ◽

Misoprostol Group ◽

Nicu Admission ◽

Vaginal Misoprostol

Background: Objective of this study was to study the effect of vaginal misoprostol, dinoprostone gel, foley catheter, extra amniotic saline infusion along with vaginal misoprostol for induction of labor at term on maternal and fetal outcome.Methods: A one-year prospective observational study was conducted in the department of obstetrics and gynecology, SDM College of Medical Science and Hospital, Dharwad. Totally 100 postdated primigravida women with singleton gestation, vertex presentation and intact membrane who were induced with any four methods of induction 1) Tab. misoprostol 25 µg vaginally, 2) Intracervical dinoprostone gel, 3) Foley catheter and 4) Extra amniotic saline infusion along with tab. misoprostol 25 µg vaginally with 25 patients selected in each group, by random allocation technique and included in the study. Outcome measures analysed were the demographic profile, bishop score, induction to delivery interval, mode of delivery, maternal and fetal complications. Statistical analysis was done using SPSS 17 software.Results: Mean induction delivery interval was significant between PGE1 versus foley group (p=0.0034). In this study, 60% patients in dinoprostone group had Vaginal delivery and 72% in the EASI + misoprostol group underwent cesarean section (p=0.0372). NICU admission was maximum with EASI + vaginal misoprostol group and minimum with vaginal misoprostol alone.Conclusions: The groups were comparable with respect to maternal age, bishop score and fetal weight. The vaginal misoprostol group had shortest induction delivery interval. The maximum number of patients in dinoprostone gel group underwent vaginal delivery with a highest cesarean section and NICU admission with the EASI + misoprostol group.

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Effect of Different Methods of Induction on the Mode of Delivery and Fetal Outcome

Bangladesh Journal of Obstetrics & Gynaecology ◽

10.3329/bjog.v26i2.13785 ◽

2013 ◽

Vol 26 (2) ◽

pp. 81-85

Author(s):

Nabila Aminu Buhari ◽

Sumayya Lugman Ahmed ◽

Nastaran Redha Sohrabi ◽

Hidayat Yetunde Ogunsola ◽

Riwana B Shaikh ◽

...

Keyword(s):

Pregnant Women ◽

Vaginal Delivery ◽

Mode Of Delivery ◽

Fetal Outcome ◽

Labor Induction ◽

Induction Of Labor ◽

Normal Vaginal Delivery ◽

College Hospital ◽

Medical College ◽

Mean Time

Objectives: To study various methods of induction of labor and their effect on mode of delivery and fetal outcome.Methods: 104 pregnant women induced in Gulf Medical College hospital from August to November 2009 were included. Mothers were observed from the start of their induction and followed up till they were discharged. The methods of induction compared were the use of prostaglandin, oxytocin, prostaglandin and oxytocin combined and artificial rupture of membranes.Results: Out of 104 pregnant women, 86 (89%) had normal vaginal delivery. Of these, 36 (41.9%) were induced with combination of prostaglandin and oxytocin, 32 (37.2%) with prostaglandin, 14 (16.2%) with oxytocin, and 4 (4.6%) with artificial rupture of membranes. 13 (12.5%) mothers delivered through caesarean section of these, 7 (53.8%) mothers were induced with prostaglandin, 3 (23%) with prostaglandin and oxytocin, 2 (15.3%) with oxytocin alone, and 1 (7.7%) with artificial rupture of membranes. Induction of labor with combination of prostaglandin and oxytocin was found to be the most effective method. Duration of labor between primigravidas and multigravidas were significantly different with primigravidas having longer duration of labor with mean time of 12.47 hours while multigravidas had 9.16 hours.Conclusion: Induction of labor with combination of prostaglandin and oxytocin was found to be the most effective method in this study with very good progressing to normal vaginal delivery. Further research is needed on a larger scale to compare other methods of labor induction on parturient to be able to recommend the most effective method of labor induction. DOI: http://dx.doi.org/10.3329/bjog.v26i2.13785 Bangladesh J Obstet Gynaecol, 2011; Vol. 26(2) : 81-85

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