 |
Research Article
The comparison of effectiveness of keeping transcervical foley catheter in situ for 12 hours versus 24 hours for cervical ripening: A randomized trial on nulliparous women with prolonged pregnancy
1 Registrar in Obstetrics and Gynaecology, Colombo North Teaching Hospital, Ragama, Sri Lanka
2 Consultant Obstetrician and Gynaecologist, Colombo North Teaching Hospital, Ragama, Sri Lanka
Address correspondence to:
Dilan Malinda Casather
11 Stone Yard Close, Ormskirk, Lancashire L39 AF,
United Kingdom
Message to Corresponding Author
Article ID: 100009M01DC2021
Access full text article on other devices
Access PDF of article on other devices
How to cite this article
Casather DM, Rajapaksha RNG. The comparison of effectiveness of keeping transcervical foley catheter in situ for 12 hours versus 24 hours for cervical ripening: A randomized trial on nulliparous women with prolonged pregnancy. Edorium J Matern Child Health 2021;6:100009M01DC2021.ABSTRACT
Aims: Post-term pregnancy has been associated with increased perinatal mortality and morbidity. Induction of labor is most challenging in nulliparous women with prolonged pregnancy. Although many methods are used to ripen the cervix before induction is attempted, there are little consensus on the best method. Our study compared the efficacy, acceptability, and safety of keeping transcervical catheter in situ for 12 hours versus 24 hours, for cervical ripening in healthy nulliparous women with an unfavorable cervix.
Methods: A non-blind randomized controlled trial was conducted in two groups of healthy primigravida with singleton pregnancy. Selected females were randomized into two treatment groups. Foley catheter was introduced to the space between the amniotic membrane and the lower segment of the uterus. Bishop’s scores were assessed after completion of 12 hours and 24 hours in the respective groups. The possible maternal and fetal adverse reactions of the procedure were assessed.
Results: There was no statistically significant difference in Bishop’s score, duration of labor and caesarean section rate in two groups. The Apgar score at 5 minutes, rate of special care baby unit admission, and neonatal sepsis were comparable in both groups. There were significantly more culture positive urinary tract infections seen in 2021women in the 24 hour group compared to the 12 hour group.
Conclusion: According to our study there were no major differences in effectiveness, acceptability and maternal and fetal side effects in compared groups. Culture positive urinary tract infections were slightly increased among the women in the 24 hour induction group.
Keywords: Cervical ripening, Foley catheter, Primigravida, Prolonged pregnancy
SUPPORTING INFORMATION
Acknowledgments
I would like to thank patients who participated in this paper for her immense support throughout the study.
Author ContributionsDilan Malinda Casather - Substantial contributions to conception and design, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
RNG Rajapaksha - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Dilan Malinda Casather et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
