Use of Intracervical Foley Catheter for Induction of Labour in Cases of Previous Caesarean Section: Experience of a single tertiary centre in Oman
| Autor: | Mohammed Al-Azri, Nihal Al-Riyami, Hazel Gonsalves, Vaidayanathan Gowri, Tamima Al-Dughaishi, Ayesha Salahuddin |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Clinical & Basic Research Foley catheter lcsh:Medicine Oligohydramnios catheters 03 medical and health sciences 0302 clinical medicine medicine Caesarean section Vaginal bleeding 030212 general & internal medicine induced labor reproductive and urinary physiology Pregnancy 030219 obstetrics & reproductive medicine pregnancy complications business.industry Vaginal delivery Obstetrics lcsh:R oman Retrospective cohort study General Medicine medicine.disease Uterine rupture Surgery vaginal birth after cesarean medicine.symptom business |
| Zdroj: | Sultan Qaboos University Medical Journal, Vol 16, Iss 4, Pp 445-450 (2016) |
| ISSN: | 2075-0528 2075-051X |
| DOI: | 10.18295/squmj.2016.16.04.007 |
| Popis: | Objectives: This study aimed to evaluate rates of success and perinatal complications of labour induction using an intracervical Foley catheter among women with a previous Caesarean delivery at a tertiary centre in Oman. Methods: This retrospective cohort study included 68 pregnant women with a history of a previous Caesarean section who were admitted for induction via Foley catheter between January 2011 and December 2013 to the Sultan Qaboos University Hospital, Muscat, Oman. Patient data were collected from electronic and delivery ward records. Results: Most women were 25–35 years old (76.5%) and 20 women had had one previous vaginal delivery (29.4%). The most common indication for induction of labour was intrauterine growth restriction with oligohydramnios (27.9%). Most women delivered after 40 gestational weeks (48.5%) and there were no neonatal admissions or complications. The majority experienced no complications during the induction period (85.3%), although a few had vaginal bleeding (5.9%), intrapartum fever (4.4%), rupture of the membranes (2.9%) and cord prolapse shortly after insertion of the Foley catheter (1.5%). However, no cases of uterine rupture or scar dehiscence were noted. Overall, the success rate of vaginal birth after a previous Caesarean delivery was 69.1%, with the remaining patients undergoing an emergency Caesarean section (30.9%). Conclusion: The use of a Foley catheter in the induction of labour in women with a previous Caesarean delivery appears a safe option with a good success rate and few maternal and fetal complications. Keywords: Vaginal Birth after Cesarean; Induced Labor; Catheters; Pregnancy Complications; Oman. |
| Databáze: | OpenAIRE |
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