Double Foley catheter for labor induction: An alternative method.

Autor: Obut M; Department of Perinatology, Etlik Zübeyde Hanım Woman's Health Care Training and Research Hospital, Ankara, Turkey., Balsak D; Department of Obstetrics and Gynecology, Ozel Bati Hospital, Diyarbakir, Turkey., Sarsmaz K; Department of Perinatology, Etlik Zübeyde Hanım Woman's Health Care Training and Research Hospital, Ankara, Turkey., Tolunay HE; Department of Perinatology, Etlik Zübeyde Hanım Woman's Health Care Training and Research Hospital, Ankara, Turkey., Varlı EN; Department of Perinatology, Etlik Zübeyde Hanım Woman's Health Care Training and Research Hospital, Ankara, Turkey., Şahin D; Department of Perinatology, Ministry of Health, Ankara City Hospital, Ankara, Turkey., Yücel A; Department of Perinatology, Ministry of Health, Ankara City Hospital, Ankara, Turkey.
Jazyk: angličtina
Zdroj: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics [Int J Gynaecol Obstet] 2021 Dec; Vol. 155 (3), pp. 496-504. Date of Electronic Publication: 2021 Jul 18.
DOI: 10.1002/ijgo.13807
Abstrakt: Objective: To introduce a new handmade device, the double Foley catheter (DFC), and compare it with the Foley catheter (FC) and Cook cervical ripening balloon for its effectiveness in labor induction.
Methods: This prospective randomized controlled trial included 222 patients with unfavorable cervices. The patients were randomly allocated to the DFC, FC, and Cook cervical ripening balloon groups (n = 74 patients per group). The outcomes were evaluated using SPSS v. 23.
Results: Bishop scores successfully increased with all three methods (P = 0.000 for all groups), and the rates of vaginal delivery within 24 and 48 h were similar (P = 0.101 and P = 0.390, respectively). The pain scores of the DFC and Cook cervical ripening balloon groups were similar, but were lower than those of the FC group (P = 0.011). The overall maternal satisfaction scores of the DFC and Cook cervical ripening balloon groups were not significantly different but were higher than those of the FC group (P = 0.014).
Conclusion: The maternal safety and success rate of labor induction were comparable between groups. However, the FC group had a higher pain score during catheter insertion and a lower maternal satisfaction rate. Moreover, considering the high cost of the Cook cervical ripening balloon, the DFC has an advantage, especially in low-resource countries.
(© 2021 International Federation of Gynecology and Obstetrics.)
Databáze: MEDLINE
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