Espinoza-Herrera DA, Hernández-Delgado CA, Valle-Leal JG

Language: Spanish
References: 11
Page: 190-195
PDF size: 213.60 Kb.

ABSTRACT

Objective: To determine the effectiveness of induction of labor with Foley catheter in patients with full term pregnancy.
Material and Methods: Uncontrolled clinical trial in patients carried out in patients with term pregnancy who attended the Toco-surgery service of a second-level care hospital in Sonora, Mexico, between January and August 2017. To procedure: insufflating the balloon with 30-40cc of solution and exerting constant and gentle traction. The induction start time was taken and constant monitoring of the binomial was maintained. Bishop's scale was re-evaluated at 6 o'clock, with induction considered effective, obtaining a score on the modified Bishop's scale ≥6. The route of termination of pregnancy was also valued.
Results: 36 patients were studied; The efficacy of induction with Foley catheter was reported in 34 of 36 patients (94%). For parity, 13/26 women were primigravite. Induction with Foley catheter was successful in 34 of 36 patients, with a route of termination of pregnancy through delivery in 24/36 and cesarean section in 12/36 women. Of the total number of participants, 10 of 36 had a previous caesarean section, culminating 6/10 per delivery and 4/10 by caesarean section.
Conclusions: The induction of labor with Foley catheter is effective and is a good alternative when there is a history of a previous caesarean section.

REFERENCES

1. González-Boubeta R, et al. Maduración cervical: aceleración de un proceso natural. Matronas 2007;8(1):24-29. Cuadro 5. Relación entre antecedentes y características clínicas con la efectividad de la inducción del trabajo de parto con sonda Foley (n = 34/36) Variable Efectividad Efectiva n (%) No efectiva n (%) p Cesárea previa Sí 8 (80) 2 (20) .019 No 26 (100) - Gestas Primigestas 13 (100) - .274 Multigestas 21 (91) 2 (9) IMC Normal 2 (100) - .739 Sobrepeso 26 (93) 2 (7) Obesidad 6 (100) - Tiempo de inducción < 35 min 28 (97) 1 (3) .261 > 35 min 6 (86) 1 (14) http://www.federacion-matronas.org/rs/236/d112d6ad- 54ec-438b-9358-4483f9e98868/454

2. Jozwiak M, et al. Foley catheter versus vaginal prostaglandin E2 gel for induction of labour at term (PROBAAT trial): an open-label, randomised controlled trial. Lancet 2011;378(9809):2095-103. https://doi.org/10.1016/ S0140-6736(11)61484-0

3. Cromi A, et al. A randomized trial of preinduction cervical ripening: dinoprostone vaginal insert versus double-balloon catheter. Am J Obstet Gynecol 2012;207(2):125-7. https:// doi.org/10.1016/j.ajog.2012.05.020

4. American College of Obstetricians and Gynecologists ACOG Practice bulletin no. 107: Induction of labor. Obstet Gynecol 2009;114:386-97. https://doi.org/10.1097/ AOG.0b013e3181b48ef5

5. American College of Obstetricians and Gynecologists ACOG Practice bulletin no. 115: vaginal birth after previous cesarean delivery. Obstet Gynecol 2010;116(2-1):40-63. https:// doi.org/10.1097/AOG.0b013e3181eeb251

6. Henry A, et al. Outpatient Foley catheter versus inpatient prostaglandin E2 gel for induction of labour: a randomised trial. BMC Pregnancy Childbirth 2013;13:25. https://doi. org/10.1186/1471-2393-13-25

7. Sananes N, A et al. Efficacy and safety of labour induction in patients with a single previous Caesarean section: a proposal for a clinical protocol. Arch Gynecol Obstet 2014;290(4):669-676. https://doi.org/10.1007/s00404- 014-3287-4

8. Sciscione A. Methods of cervical ripening and labor induction: mechanical. Clin Obstet Gynecol 2014;57(2):369-376. https://doi.org/10.1097/GRF.0000000000000023

9. Anabusi S, et al. Mechanical labor induction in the obese population: a secondary analysis of a prospective randomi zed trial. Arch Gynecol Obstet 2016;293(1):75-80. https:// doi.org/10.1007/s00404-015-3765-3

10. Vaknin Z, et al. Foley catheter balloon vs locally applied prostaglandins for cervical ripening and labor induction: a systematic review and metaanalysis. Am J Obstet Gynecol 2010;203(5):418-29. https://doi.org/10.1016/j. ajog.2010.04.038

11. Kehl S, et al. Combination of misoprostol and mechanical dilation for induction of labour: a randomized controlled trial. Eur J Obstet Gynecol Reprod Biol 2011;159(2):315-9. https://doi.org/10.1016/j.ejogrb.2011.09.010