Foley Catheter versus Vaginal Misoprostol: Randomized Controlled Trial (PROBAAT-M Study) and Systematic Review and Meta-Analysis of Literature

Autor: Jozwiak, M., Eikelder, M. ten, Rengerink, K.O., Groot, C. de, Feitsma, H., Spaanderman, M., Pampus, M. van, Leeuw, J.W. de, Mol, B.W., Bloemenkamp, K., PROBAAT Study Grp
Přispěvatelé: Obstetrics and gynaecology, ICaR - Ischemia and repair, Other departments, Obstetrics and Gynaecology, MUMC+: MA Medische Staf Obstetrie Gynaecologie (9), Obstetrie & Gynaecologie, RS: GROW - Oncology, RS: GROW - R4 - Reproductive and Perinatal Medicine
Rok vydání: 2014
Předmět:
Zdroj: Jozwiak, M, ten Eikelder, M, Rengerink, K O, de Groot, C J M, Feitsma, H, Spaanderman, M, van Pampus, M, Leeuw, J W, Mol, B W & Bloemenkamp, K 2014, ' Foley Catheter versus Vaginal Misoprostol: Randomized Controlled Trial (PROBAAT-M Study) and Systematic Review and Meta-Analysis of Literature ', American Journal of Perinatology, vol. 31, no. 2, pp. 145-155 . https://doi.org/10.1055/s-0033-1341573
American Journal of Perinatology, 31(2), 145-155. Thieme Medical Publishers
American journal of perinatology, 31(2), 145-156. Thieme Medical Publishers
ISSN: 0735-1631
Popis: To assess effectiveness and safety of Foley catheter versus vaginal misoprostol for term induction of labor. This trial randomly allocated women with singleton term pregnancy to 30-mL Foley catheter or 25-μg vaginal misoprostol tablets. Primary outcome was cesarean delivery rate. Secondary outcomes were maternal and neonatal morbidity and time to birth. Additionally, a systematic review was conducted. Fifty-six women were allocated to Foley catheter, 64 to vaginal misoprostol tablets. Cesarean delivery rates did not differ significantly (25% Foley versus 17% misoprostol; relative risk [RR] 1.46, 95% confidence interval [CI] 0.72 to 2.94), with more cesarean deliveries due to failure to progress in the Foley group (14% versus 3%; RR 4.57, 95% CI 1.01 to 20.64). Maternal and neonatal outcomes were comparable. Time from induction to birth was longer in the Foley catheter group (36 hours versus 25 hours; p < 0.001). Meta-analysis showed no difference in cesarean delivery rate and reduced vaginal instrumental deliveries and hyperstimulation in the Foley catheter group. Other outcomes were not different. Our trial and meta-analysis showed no difference in cesarean delivery rates and less hyperstimulation with fetal heart rate changes and vaginal instrumental deliveries when using Foley catheter, thereby supporting potential advantages of the Foley catheter over misoprostol as ripening agent
Databáze: OpenAIRE