Induction of Labor Using a Foley Balloon, With and Without Extra-Amniotic Saline Infusion

Karjane, Nicole W.; Brock, Ellen L.; Walsh, Scott W.

doi:10.1097/01.aog.0000198629.44186.c8

Cited by 93 publications

(20 citation statements)

References 15 publications

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“…An infusion rate of 30 mL/h was used in our investigation and in the study by Guinn et al, 9 whereas an infusion rate of 40 mL/h was used in the Karjane et al trial. 10 There have been no randomized trials to date evaluating the effect of various extraamniotic saline infusion rates on the induction to delivery interval.…”

Section: Discussionmentioning

confidence: 99%

“…In the trial by Guinn et al, 9 no difference in the time from induction (Foley catheter insertion) to delivery, cesarean rate, or percentage of women who delivered within 24 hours was noted between the two arms. In contrast, Karjane et al, 10 in a larger trial of 142 women, found that the addition of extraamniotic saline infusion to a transcervical Foley catheter alone shortened the induction-to-vaginal-delivery interval. Because of these conflicting results, we conducted a large randomized clinical trial of transcervical Foley catheter compared with transcervical Foley catheter with extraamniotic saline infusion for labor induction and cervical ripening in women with unfavorable cervix.…”

mentioning

confidence: 87%

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Transcervical Foley Catheter With and Without Extraamniotic Saline Infusion for Labor Induction

Lin

Reid

Treaster

et al. 2007

Obstetrics &Amp; Gynecology

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 87%

Transcervical Foley Catheter With and Without Extraamniotic Saline Infusion for Labor Induction

Lin

Reid

Treaster

et al. 2007

Obstetrics &Amp; Gynecology

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“…For the purpose of IOL in the third trimester, extra‐amniotic saline is infused through a transcervical catheter. Infusion rates can vary between 30 and 60 ml/hour . This results in stripping of the membranes with an increase in local PGs and other inflammatory mediators to induce labour …”

Section: Common Methods For Induction Of Labourmentioning

confidence: 99%

“…A Cochrane review concluded that there was insufficient evidence to support the use of EASI alone for IOL . EASI was found to reduce the induction delivery interval when used in association with the Foley catheter versus the Foley catheter itself; however, other studies found no benefit to using EASI in combination with Foley catheters …”

Section: Common Methods For Induction Of Labourmentioning

confidence: 99%

An overview of the past, current and future trends for cervical ripening in induction of labour

Chodankar

Sood²,

Gupta

2017

The Obstetric & Gynaecologis

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The advantages and disadvantages of pharmacological methods and mechanical methods (such as the osmotic cervical dilator Dilapan-S â and Foley catheter) for labour induction are discussed. This article looks at the international and local (UK) experience with use of Dilapan-S â for cervical ripening. The Cochrane and Royal College of Gynaecologists and Obstetricians (RCOG) statements with regards to use of mechanical dilators are referenced. Learning objectivesTo know the past, current and future trends in cervical ripening for labour induction. To understand that mechanical methods (e.g. Dilapan-S â and Foley catheter) offer similar efficacy and better safety compared to PGE2.

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“…6 Trans cervical Foley ‫׳‬s catheter and extra amniotic saline infusion have been successfully used for cervical ripening and labour induction. 7 During the past 15 years the introduction of PGE1 (misoptrostol), a methyl analogue has been the major focus of attention for labour induction as it is cheaper and easy to store because of thermo stability. Currently only prostaglandin E2 (PGE2) is licensed for use for labour induction in case of viable pregnancies.…”

Section: Introductionmentioning

confidence: 99%

Mifepristone for cervical ripening and induction of labour

Nayak¹,

Kumar²

2020

IJOGR

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Objective:To study the efficacy of oral mifepristone in pre induction cervical ripening and induction of labour in term pregnancy. Materials and Methods: This is a single blind randomised control trial. 200 women with term pregnancy and bishop score < 6 were recruited and randomly allocated into two groups. Women who received tablet mifepristone 400 mg were assigned to study group (n=100) and who received placebo orally were assigned to control group (n=100). At the end of 48 hours, change in the bishop was assessed and accordingly induction/ augmentation of labour was done. Analysis regarding safety and efficacy of the drug was done with regards to maternal and perinatal outcome Results: Among 200 women, 100 received mifepristone and 100 received placebo. In mifepristone group, 75% patients entered into labour within 48 hours of induction as compared to 48% in placebo group. The mean time interval between induction to start of labour pains was 28 hours 54 min in group A and 42 hours 18 min in group B. This difference was statistically significant. (p=0.000). In the study group 70% patients delivered within 48 hours of treatment as compared to 38% patients in control group. Mean induction delivery interval was 35 hours 38 min in study group and 49 hours 52 min in control group (p=0.000). There were fewer caesareans in the mifepristone treated group (10%) than placebo group (20%) particularly for failed induction (2 versus 6) and non progress of labour (2 versus 5). There was no statistically significant different in perinatal outcome between two groups. Conclusion: Mifepristone has modest affect on cervical repining when given 48 hour prior to labour induction and appears to reduce need for further induction compared to placebo. Mifepristone is a simple and effective method of inducing labour in women with term pregnancy and unripe cervix. The use of Mifepristone provides an interesting new alternative to classic uterotonic agents when induction of labour is necessary.

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Induction of Labor Using a Foley Balloon, With and Without Extra-Amniotic Saline Infusion

Abstract: II-I

Cited by 93 publications

References 15 publications

Transcervical Foley Catheter With and Without Extraamniotic Saline Infusion for Labor Induction

Transcervical Foley Catheter With and Without Extraamniotic Saline Infusion for Labor Induction

An overview of the past, current and future trends for cervical ripening in induction of labour

Mifepristone for cervical ripening and induction of labour

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