Cervical ripening with Foley catheter for induction of labor after cesarean section: a cohort study. (13th January 2014)

• Record Type: Journal Article
• Authors: Jozwiak, Marta; van de, Hilde A.; Burger, Nicole B.; Dijksterhuis, Marja G.K.; De, Jan Willem
• Is Part Of: Acta obstetricia et gynecologica Scandinavica. Volume 93:Number 3(2014)
• Page Start: 296
• Page End: 301
• Publication Date: 2014-01-13
• Subjects: Gynecology -- Periodicals; Pregnancy -- Periodicals; Obstetrics -- Periodicals; 618.05
• DOI: 10.1111/aogs.12320
• Languages: English
• ISSNs: 0001-6349

Abstract

<abstract abstract-type="main" id="aogs12320-abs-0001"> <title>Abstract</title> <sec id="aogs12320-sec-0001" sec-type="section"> <title>Objective</title> <p>To evaluate spontaneous vaginal delivery and complication rates after induction of labor with a transcervical Foley catheter in women with a previous cesarean delivery.</p> </sec> <sec id="aogs12320-sec-0002" sec-type="section"> <title>Design</title> <p>Retrospective cohort study.</p> </sec> <sec id="aogs12320-sec-0003" sec-type="section"> <title>Setting</title> <p>Secondary teaching hospital in the second largest city of the Netherlands.</p> </sec> <sec id="aogs12320-sec-0004" sec-type="section"> <title>Population</title> <p>Women with a history of cesarean delivery (<italic>n </italic>=<italic> </italic>208), undergoing induction of labor with a Foley catheter in a subsequent pregnancy.</p> </sec> <sec id="aogs12320-sec-0005" sec-type="section"> <title>Material and methods</title> <p>The women who had induction of labor with a transcervical Foley catheter in the Ikazia Hospital, Rotterdam, between January 2003 and January 2012, were identified in a computerized database. Patient's records were checked for accuracy.</p> </sec> <sec id="aogs12320-sec-0006" sec-type="section"> <title>Main outcome measures</title> <p>Vaginal delivery rate, cesarean section rate, uterine rupture and maternal and neonatal (infectious) morbidity.</p> </sec> <sec id="aogs12320-sec-0007" sec-type="section"> <title>Results</title> <p>Of the women 60% had a spontaneous vaginal delivery and 11% were delivered by vacuum extraction. Uterine rupture occurred in one woman. Postpartum hemorrhage was the most common maternal complication (12%). Maternal intrapartum and postpartum infections occurred in 5% and 1%. Proven neonatal infection was found in 3% of the cases. Two perinatal deaths occurred (1%), of which one was related to uterine rupture.</p> </sec> <sec id="aogs12320-sec-0008" sec-type="section"> <title>Conclusion</title> <p>Induction of labor with a transcervical Foley catheter is an effective method to achieve vaginal delivery in women with a previous cesarean delivery. There is a low risk of uterine rupture and maternal and neonatal (infectious) morbidity in this cohort.</p> </sec> </abstract>