Comparative Effects of Ballooning Intracervical Catheter and Prostaglandin Pessary on Cervical Ripening

Baloch, Raheela; Muhabat, Qamarunissa; Waheed, Fakhrunissa; Ahmed, Waqarunissa

doi:10.4236/ojog.2016.69067

Cited by 3 publications

(3 citation statements)

References 33 publications

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“…These finding were consistent with those of Dileep P et al and Penagaluru Radha et al but contrary to the findings of Gayatri Mathuriya et al, where Dinoprostone group had significantly more minor complications [12-13-16] . Neonatal outcome did not differ significantly in our study between the two groups, similar to the studies by Anjuman et al and Krishna et al [14][15][16][17] a study by Penagaluru Radha et al showed more NICU admission in Dinoprostone group [13] .…”

Section: Discussionsupporting

confidence: 90%

Role of intracervical foley's catheter as pre-induction cervical ripening agent in reducing rate of primary caesarean section

Malakar¹,

Sahoo²,

Mehrotra³

et al. 2019

Int. J. Clin. Obstet. Gynaecol.

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Induction of labour may be required for various maternal or foetal reasons at times in the presence of poor Bishop's scoring. Cervical ripening is beneficial in these situations. A randomised comparative analysis was carried out using intracervical Foleys catheter instillation followed by a single dose of dinoprostone gel if required in one group and only dinoprostone gel for ripening in other group. Maternal and neonatal complications, mode of delivery and induction-delivery interval were assessed. We found a higher vaginal delivery rate of 82% in the first group in comparison to 64% in the other group. The difference was statistically significant (p=0.0426). Though a longer induction-delivery interval was observed in the first group, the maternal and foetal outcomes were similar. Intracervical Foley's catheter instillation when used for cervical ripening in unfavourable cervices, either alone or sequentially with dinoprostone gel can significantly reduce the Primary Caesarean section rate without compromising maternal and neonatal safety.

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Section: Discussionsupporting

confidence: 90%

Role of intracervical foley's catheter as pre-induction cervical ripening agent in reducing rate of primary caesarean section

Malakar¹,

Sahoo²,

Mehrotra³

et al. 2019

Int. J. Clin. Obstet. Gynaecol.

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“…Other studies have reported average increase in cervical ripening in the Foleys catheter group by 5.1 scores which is lesser than our study. 11,12 The observed discrepancy may be related to the amount of water used for dilation of catheter, which was only 30 ml in contrast to 60 ml in our study. A randomized controlled trial designed to compare the rates of success with respect to volume of inflation also states that a higher volume of water used to inflate catheter increases the chances of obtaining a favourable cervix.…”

Section: Discussioncontrasting

confidence: 80%

Intracervical foleys catheter: Can it serve as an alternative to standard pharmacological method of cervical ripening?

Murthy

Teje

2017

Int J Basic Clin Pharmacol

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Background: Ripening of cervix is a prerequisite for successful labour induction. Use of prostaglandins for this purpose incurs a high risk of uterine hyperstimulation and a relatively higher cost of treatment. intracervical Foleys catheter insertion is a mechanical method stated in literature. The present study was to compare the efficacy and safety and cost of intracervical Foleys catheter balloon insertion with intracervical dinoprostone application for preinduction cervical ripening in patients requiring labour induction at term.Methods: This was a randomized, parallel group, active controlled study conducted in the obstetrics department of a tertiary care centre over a duration of one year. Group A received Dinoprostone cervical gel 0.5mg instilled in the cervical canal. Maximum of three doses (1.5mg dinoprostone) could be administered 6 hours apart. Patients randomized to group B were subjected to Foleys catheter insertion. Foleys catheter number 16 was used and balloon was inflated with 60ml of water. Primary efficacy parameter was change in Bishops score as compared to baseline and safety was monitored by comparing the total number of adverse events in the two groups.Results: Total of 89 patients were enrolled into the study during one year period out of which 45 received dinoprostone gel and 44 received Foleys catheter insertion respectively. Change in Bishops score, mode of delivery and total number of maternal and foetal adverse events did not differ significantly between the two groups.Conclusions: Efficacy and safety of Foleys catheter as a cervical ripening agent prior to induction of labour is comparable to dinoprostone gel. Since use of Foleys catheter is advantageous in terms of lack of specific storage conditions and cost of treatment, it could be considered a cost effective alternative for preinduction cervical ripening.

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“…Data addressing acROM rates with Foley catheter use are limited. Baloch and colleagues reported a 0% acROM rate (0/50) while Cromi experienced a 0.8% rate (2/265); neither mentioned the catheter material but probably used latex. In a large retrospective series, Maslovitz reported abandoning the procedure and removing the Foley catheter in cases of acROM — but provided no incidence data.…”

Section: Commentmentioning

confidence: 99%

Foley catheter silicone versus latex for term outpatient induction of labour: A randomised trial

McGee

Gidaszewski

Khajehei

et al. 2018

Aust NZ J Obst Gynaeco

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Comparative Effects of Ballooning Intracervical Catheter and Prostaglandin Pessary on Cervical Ripening

Cited by 3 publications

References 33 publications

Role of intracervical foley's catheter as pre-induction cervical ripening agent in reducing rate of primary caesarean section

Role of intracervical foley's catheter as pre-induction cervical ripening agent in reducing rate of primary caesarean section

Intracervical foleys catheter: Can it serve as an alternative to standard pharmacological method of cervical ripening?

Foley catheter silicone versus latex for term outpatient induction of labour: A randomised trial

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