Open AccessCervical ripening with Foley catheter for induction of labor after cesarean section: a cohort study
Author(s) -
Jozwiak Marta,
Lest Hilde A.,
Burger Nicole B.,
Dijksterhuis Marja G.K.,
Leeuw Jan Willem
Publication year - 2014
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.1111/aogs.12320
Subject(s) - medicine , foley catheter , uterine rupture , obstetrics , vaginal delivery , foley , labor induction , retrospective cohort study , pregnancy , complication , cohort , cohort study , gynecology , catheter , surgery , uterus , oxytocin , pathology , biology , genetics
Objective To evaluate spontaneous vaginal delivery and complication rates after induction of labor with a transcervical Foley catheter in women with a previous cesarean delivery. Design Retrospective cohort study. Setting Secondary teaching hospital in the second largest city of the Netherlands. Population Women with a history of cesarean delivery ( n = 208), undergoing induction of labor with a Foley catheter in a subsequent pregnancy. Material and methods 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. Main outcome measures Vaginal delivery rate, cesarean section rate, uterine rupture and maternal and neonatal (infectious) morbidity. Results 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. Conclusion 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.