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Tugging the Foley Catheter Balloon Every Three Hours in Induction of Labor After One Previous Cesarean: A Randomized Controlled Trial.
Am J Obstet Gynecol MFM
December 2024
Department of Obstetrics and Gynecology, Faculty of Medicine, Universiti Malaya, Jalan Profesor Diraja Ungku Aziz, 50603, Kuala Lumpur, Malaysia. Electronic address:
Article Synopsis
- Induction of labor after a previous cesarean poses high risks, and using a Foley balloon for mechanical ripening is preferred over prostaglandins due to lower risk of complications like uterine rupture.
- This study aims to assess the effects of tugging the Foley balloon every three hours on the time from induction to delivery and overall patient satisfaction compared to standard care without tugging.
- Conducted as a randomized controlled trial in Malaysia from April 2023 to March 2024, 126 participants were recruited, and outcomes measured included the time interval from balloon insertion to delivery and participants' satisfaction, with expectations of a significant reduction in delivery time and improvement in satisfaction scores.
Early vs delayed amniotomy following transcervical Foley balloon in the induction of labor: a randomized clinical trial.
Am J Obstet Gynecol
May 2024
Division of Maternal Fetal Medicine, The University of Texas Medical Branch, Galveston, TX. Electronic address:
Background: The optimal timing of amniotomy during labor induction is a topic of ongoing debate due to the potential risks associated with both amniotomy and prolonged labor. As such, individuals in the field of obstetrics and gynecology must carefully evaluate the associated benefits and drawbacks of this procedure. While amniotomy can expedite the labor process, it may also lead to complications such as umbilical cord prolapse, fetal distress, and infection.
View Article and Find Full Text PDFAmniotomy versus expectant management during the active phase of labor defined by the new WHO definition on the duration of labor: A randomized controlled trial.
Int J Gynaecol Obstet
April 2024
Department of Obstetrics and Gynecology, Lamphun Hospital, Lamphun, Thailand.
Objective: To compare the labor duration and other maternal and neonatal outcomes between hospitalized women with uncomplicated pregnancies receiving amniotomy at 5 cm cervical dilatation and those not receiving amniotomy.
Methods: This prospective, randomized controlled trial was conducted at a tertiary hospital between June 2020 and October 2021. The study included low-risk pregnant women with spontaneous onset of labor at term, carrying a single fetus in cephalic presentation and with intact amniotic membranes.
Six compared with 12 hours of Foley balloon placement for labor induction in nulliparous women with unripe cervices: a randomized controlled trial.
Am J Obstet Gynecol MFM
November 2023
Faculty of Medicine, Department of Obstetrics and Gynecology, Universiti Malaya, Kuala Lumpur, Malaysia. Electronic address:
Background: Compared with a planned 12-hour placement of a double-balloon catheter, a planned 6-hour placement of a double-balloon catheter shortens the labor induction to delivery interval. The Foley catheter is low cost. Moreover, it has at least comparable effectiveness to the proprietary double-balloon labor induction devices.
View Article and Find Full Text PDFEarly versus late amniotomy during induction of labor using oxytocin: A randomized controlled trial.
PLoS One
May 2023
Department of Obstetrics and Gynecology, University Hospital Mongi Slim La Marsa, Tunis, Tunisia.
Objective: To assess the effect of early amniotomy on labor duration, maternal and neonatal outcomes during induction of labor (IOL).
Methods: This was a randomized controlled trial, conducted over a period of eight months at a monocentric site. Singleton pregnancies in nulliparous and parous patients with cephalic presentation and Bishop score ≥ 6 were enrolled in the study.
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