Outcome of induction of labour at 41 weeks with foley catheter in midwifery-led care.

Autor: Velthuijs ELM; Department of Obstetrics and Gynaecology, OLVG, Amsterdam, Netherlands, OLVG, locatie West, Jan Tooropstraat 164, 1061 AE Amsterdam, Netherlands, OLVG, locatie Oost, Oosterpark 9, 1091 AC, Amsterdam, the Netherlands. Electronic address: e.velthuijs@amsterdamumc.nl., Jacod BC; Department of Obstetrics and Gynaecology, OLVG, Amsterdam, Netherlands, OLVG, locatie West, Jan Tooropstraat 164, 1061 AE Amsterdam, Netherlands, OLVG, locatie Oost, Oosterpark 9, 1091 AC, Amsterdam, the Netherlands., Videler-Sinke L; Department of Obstetrics and Gynaecology, OLVG, Amsterdam, Netherlands, OLVG, locatie West, Jan Tooropstraat 164, 1061 AE Amsterdam, Netherlands, OLVG, locatie Oost, Oosterpark 9, 1091 AC, Amsterdam, the Netherlands., Kooij C; EVAA, Eerstelijns Verloskundigen Amsterdam Amstelland, Kastelenstraat 107, 1082EB, Amsterdam, the Netherlands., van Rheenen-Flach LE; Department of Obstetrics and Gynaecology, OLVG, Amsterdam, Netherlands, OLVG, locatie West, Jan Tooropstraat 164, 1061 AE Amsterdam, Netherlands, OLVG, locatie Oost, Oosterpark 9, 1091 AC, Amsterdam, the Netherlands.
Jazyk: angličtina
Zdroj: Midwifery [Midwifery] 2024 Aug; Vol. 135, pp. 104026. Date of Electronic Publication: 2024 May 09.
DOI: 10.1016/j.midw.2024.104026
Abstrakt: Objective: Assess the outcome of induction of labour (IOL) with a Foley catheter in pregnancies at 41 weeks in midwifery-led care setting compared to consultant-led care setting.
Design: Mixed-methods cohort study at a midwifery - hospital partnership in Amsterdam, the Netherlands.
Setting and Participants: Prospectively, women undergoing IOL in midwifery-led care were recruited at a secondary hospital. This group was compared to a retrospective cohort, in which IOL was exclusively performed under consultant-led care.
Measurements and Findings: We compared 320 women whose induction started in midwifery-led care to a historical cohort of 320 women induced for the same reason under consultant-led care. Both groups exhibited similar rates of spontaneous vaginal births (64.2 %vs62.5 %). Caesarean section and assisted vaginal birth rates did not significantly differ. Maternal adverse outcomes were comparable, while neonatal adverse outcomes were significantly higher in the midwifery-led care group (8.1 %vs3.8 %; OR 2.27, 95 % CI 1.12-4.58). The use of pain relief was significantly lower in midwife-led care (65.3 %vs75.3 %; OR 0.62, 95 % CI 0.44-0.87). 20.6 % of births occurred in midwife-led care.
Key Conclusions and Implications for Practice: In this single-centre study, spontaneous vaginal birth rates following IOL with a Foley catheter were similar between midwife- and consultant-led care. However, the midwife-led group showed a higher risk of adverse neonatal outcomes, mainly early onset neonatal sepsis, with a minority eventually delivering under midwife-led care. Implications highlight the need for broader research, validation across diverse settings and exploration of patient and healthcare worker perspectives to refine the evolving midwifery-led care model.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024. Published by Elsevier Ltd.)
Databáze: MEDLINE
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