A randomized trial comparing a 30-mL and an 80-mL Foley catheter balloon for preinduction cervical ripening - 25/08/11
, Bibi Kanengiser, MD, Boris Furman, MD, Alon Ben Arie, MD, Dov Brown, MD, Zion J. Hagay, MD
Reprint requests: Roni Levy, MD, Department of Obstetrics and Gynecology, Kaplan Medical Center, Rehovot, 76100, Israel.Abstract |
Objectives |
The purpose of this study was to compare the efficacy of cervical ripening with 2 Foley catheter balloon volumes.
Study design |
Pregnant women admitted for induction of labor with a term singleton gestation were randomly assigned for cervical ripening by a balloon inflated with 30 mL or 80 mL of sterile saline.
Results |
Two hundred and three women were included in the analysis. Ripening of the cervix with the larger balloon volume was associated with a significantly higher rate of post-ripening dilatation of 3 cm or more (76.0% vs 52.4%, P < .001). In primiparous women, the larger balloon volume resulted in a significantly higher rate of deliveries by 24 hours (71.4% vs 49%, P < .05), and a significantly less requirement of augmentation with oxytocin (69.3% vs 90.4%, P < .05).
Conclusion |
Ripening of the unfavorable cervix in primiparous women with a Foley catheter balloon inflated with 80 mL provided effective more dilatation, faster labor, and decreased need for oxytocin than with a balloon inflated with 30 mL of sterile saline.
Le texte complet de cet article est disponible en PDF.Keywords : Cervical ripening, Balloon catheter, Labor outcome
Plan
 | Kaplan Medical Center is affiliated with the Hebrew University School of Medicine, Jerusalem, Israel. |
Vol 191 - N° 5
P. 1632-1636 - novembre 2004 Retour au numéro
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