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Intracervical Foley catheter balloon vs. prostaglandin in preinduction cervical ripening
Author(s) -
Niromanesh S.,
MosaviJarrahi A.,
Samkhaniani F.
Publication year - 2003
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/s0020-7292(02)00392-2
Subject(s) - foley catheter , medicine , foley , cervix , ripening , bishop score , catheter , prostaglandin , balloon , anesthesia , surgery , biology , food science , cancer
Objectives: The aim of this study is to compare the effectiveness of the intracervical Foley balloon catheter and 3 mg prostaglandin E 2 tablet(s) in preinduction cervical ripening. Methods: Ninety women referred to the maternity clinic for induction of labor with a Bishop score of less than or equal to 5 were randomized to receive an intracervical Foley catheter or prostaglandin E 2 tablets. The primary measured outcome was ripening of the cervix as measured with the Bishop score. Results: There were no differences in mean Bishop scores between the prostaglandin and the Foley catheter groups. Bishop scores (mean±S.D.) after ripening were 6.6±0.80 and 6.7±0.86 for the Foley catheter and prostaglandin groups, respectively ( P =0.54). The Foley catheter group showed a statistically shorter time to ripening compared with the prostaglandin group (3.4±2.1 and 6.5±3.2 h, respectively ( P =0.001). There was no statistically significant difference in induction time (4.8±1.8 h and 5.3±2.4 h, respectively ( P =0.36). Conclusions: There are no differences in preinduction cervical ripening efficacy between prostaglandin E 2 and the Foley catheter, but the Foley catheter has the advantage of ripening an unfavorable cervix in a shorter time.