CERVICAL RIPENING AND INDUCTION OF LABOUR WITH FOLEY'S CATHETER COMPARED TO OXYTOCIN
Abstract
Objective: The purpose of this study was to evaluate the effectiveness, efficiency, benefit, safety and maternal and fetal complications by using the Foley's urinary catheter size 20 versus oxytocin for preinduction ripening of the uterine cervix and induction of labour.
Design: Prospective randomized clinical trial.
Setting: Labour and delivery ward of Wad Medani Maternity Teaching Hospital.
Methods: In the period from Jul. 2004 to Feb. 2005 Seventy patients requiring induction of labour at term with a Bishop score of ≤ 5 were randomized to receive Foley's catheter or oxytocin. The two important indications for induction included in this study were prolonged pregnancy and pre-eclampsia.
Results: In the Foley’s catheter group the balloon was expelled in 34/35 (97.14%). The Bishop score after expulsion of the balloon was 6 to 8. Nine cases (25.7%) had lower segment caesarean section compared to twenty cases (57.1%) in the oxytocin group. No maternal or neonatal morbidity or death in both groups.
References
1. Josie L. Tenor E. Methods for Cervical Ripening and Induction of Labor. J American Family Physician Vol. 67/No. 10 (May 15, 2003).
2. Dorel A. Steve G. Bill C. et al. A randomized comparison of oral misoprostol versus Foley catheter and oxytocin for induction of labour. American J Obstet Gynecol 1999; 181:1108-12.
3. . Hannah ME, Hannah WJ, Hellmann J, Hewson S, Milner R, Willan A, and the Canadian multicenter post term pregnancy trial group. Induction of labour as compared with serial antenatal monitoring in post term pregnancy. A randomized controlled trial. N England J Med 1992; 326:1587-92.
4. Chamberlain G, Zander L. ABC labour care; induction. BMJ 1999; 318: 995-998.
5. Patrick S. Kirk D. Susan M. Labour induction Current Opinion in Obstetrics and Gynecology 2000; 12:463-473.
6. Brindley BA. Sokol RJ. Induction and augmentation of labour: basis and methods of current practice. Obstet Gynecol Surv 1988; 43:730-3.
7. American College of Obstetricians and Gynecologists. Induction and augmentation of labour. ACOG Technical Bulletin 157. Washington, DC: American College of Obstetrician and Gynecologists, 1991.
8. Xenakis EMJ. Piper JM. Conway DL, et al. induction of labour in the nineties; conquering the unfavorable cervix. Obstet Gynecol 1997; 90:235-239.
9. Embrey MP, Mollison BG. The unfavorable cervix and induction of labor using a cervical balloon. J Obstet Gynaecol Br Common 1967;74:44-8.
10. Boulvain M, Kelly A, Lobse C, Stan C, Irion O. Mechanical methods for induction of labour. Cochrane Database Syst Rev 2001;4: CD001233
11. Guinn DA, Goepfert AR, Christine M, Owen J, Hauth JC. Extra-amniotic saline, laminaria, or prostaglandin E2 gel for labor induction in women with an unfavorable cervix: a randomized controlled trial. Obstet Gynecol 2000;96:106-12.
12. Vengalil SR, Guinn DA, Olabi NF, Burd LI, Owen J. A randomized trial of misoprostol and extra-amniotic saline infusion for cervical ripening and labor induction. Obstet Gynecol 1998;91:774-9.
13. Sherman DJ, Frenkel E, Tovbin J, Arieli S, Caspi E, Bukovsky I. Ripening of the unfavorable cervix with extraamniotic catheter balloon: clinical experience and review. Obstet Gynecol Surv 1996;51:621-7.
14. Mitchell MD, Flint AP, Bibby J, et al, rapid increase in prostaglandin concentration after vaginal examination and amniotomy. BMJ 1977; 2:1183-5.
15. James C, Peedicayil A, Seshardi L. Use of the Foley catheter as a cervical ripening agent prior to induction of labour. Int J Gynaecol Obstet. 1994;47:229-232.
16. Obed JY, Adewole IF (1994) The unfavourable cervix:improving the Bishop score with the Foley's catheter. West African Journal of Medicine 13, 209-212.
17. Hemlin J. Moller B. Extra-amniotic saline infusion is promising in preparing the cervix for induction of labour. Acta Obstet Gynaecol Scand 1998; 47:45-49.
18. AJ Kelly. Intravenous oxytocin alone for cervical ripening and induction of labour. Cochrane Rev Abstract. 2007; ©2007 The Cochrane Collaboration Posted 07/01/2007. http://www.medscape.com/viewarticle/486505.
19. Sherner E. Levy A. Femstern C. Hallak M. Mazor M. Risk factors and outcome of failure to proress during the first stage of labour; a population based study. Acta Obstet Gynecol Scand 2002, 81, 222-6
20. Garreu WJ. Induction of labour. Med. J. Aust. 1960, 47; 929-35
21. Embrey MP, Mollison BG. The unfavourable cervix and induction of labour using a cervical balloon. J Obstet Gynaecol Br Common W 1967; 74 : 44.
22. Lieberman JR, Piura B, Chaim W, et al. The cervical balloon method for induction of labour. Acta Obstet Gynaecol Scand 1977; 56 : 499
23. St Onge RD, Connors GT. Pre induction cervical ripening A comparison of intracervical PG2 gel versus the Foley catheter. Am J Obstet Gynecol 1995: 172-6, S7.
24. Sciscione, et al. a prospective randomized comparison of foley catheter insertion versus intracervical prostaglandin E2 gel for preinduction cervical ripening. Am J Obstet Gynecol. 1999;180:55-59
25. (Roni Levy. Asaf Ferber, Alon Ben-Arie, Beatrice Paz, Ynon Hazan, Isaac Blickstein, Zion J. Hagay. , a randomized comparison of early versus late amniotomy following cervical ripening with a Foley catheter. Br Obstet Gynecol 2002;109:168-172.
26. M Boulvain Mechanical methods for induction of labour Abstract. The Cochrane Collaboration 2007; http://www.medscape.com/viewarticle/485567.
27. Crane et al. induction of labour at term. SOGC Clinical Practice Guideline. 2001;107)
2. Dorel A. Steve G. Bill C. et al. A randomized comparison of oral misoprostol versus Foley catheter and oxytocin for induction of labour. American J Obstet Gynecol 1999; 181:1108-12.
3. . Hannah ME, Hannah WJ, Hellmann J, Hewson S, Milner R, Willan A, and the Canadian multicenter post term pregnancy trial group. Induction of labour as compared with serial antenatal monitoring in post term pregnancy. A randomized controlled trial. N England J Med 1992; 326:1587-92.
4. Chamberlain G, Zander L. ABC labour care; induction. BMJ 1999; 318: 995-998.
5. Patrick S. Kirk D. Susan M. Labour induction Current Opinion in Obstetrics and Gynecology 2000; 12:463-473.
6. Brindley BA. Sokol RJ. Induction and augmentation of labour: basis and methods of current practice. Obstet Gynecol Surv 1988; 43:730-3.
7. American College of Obstetricians and Gynecologists. Induction and augmentation of labour. ACOG Technical Bulletin 157. Washington, DC: American College of Obstetrician and Gynecologists, 1991.
8. Xenakis EMJ. Piper JM. Conway DL, et al. induction of labour in the nineties; conquering the unfavorable cervix. Obstet Gynecol 1997; 90:235-239.
9. Embrey MP, Mollison BG. The unfavorable cervix and induction of labor using a cervical balloon. J Obstet Gynaecol Br Common 1967;74:44-8.
10. Boulvain M, Kelly A, Lobse C, Stan C, Irion O. Mechanical methods for induction of labour. Cochrane Database Syst Rev 2001;4: CD001233
11. Guinn DA, Goepfert AR, Christine M, Owen J, Hauth JC. Extra-amniotic saline, laminaria, or prostaglandin E2 gel for labor induction in women with an unfavorable cervix: a randomized controlled trial. Obstet Gynecol 2000;96:106-12.
12. Vengalil SR, Guinn DA, Olabi NF, Burd LI, Owen J. A randomized trial of misoprostol and extra-amniotic saline infusion for cervical ripening and labor induction. Obstet Gynecol 1998;91:774-9.
13. Sherman DJ, Frenkel E, Tovbin J, Arieli S, Caspi E, Bukovsky I. Ripening of the unfavorable cervix with extraamniotic catheter balloon: clinical experience and review. Obstet Gynecol Surv 1996;51:621-7.
14. Mitchell MD, Flint AP, Bibby J, et al, rapid increase in prostaglandin concentration after vaginal examination and amniotomy. BMJ 1977; 2:1183-5.
15. James C, Peedicayil A, Seshardi L. Use of the Foley catheter as a cervical ripening agent prior to induction of labour. Int J Gynaecol Obstet. 1994;47:229-232.
16. Obed JY, Adewole IF (1994) The unfavourable cervix:improving the Bishop score with the Foley's catheter. West African Journal of Medicine 13, 209-212.
17. Hemlin J. Moller B. Extra-amniotic saline infusion is promising in preparing the cervix for induction of labour. Acta Obstet Gynaecol Scand 1998; 47:45-49.
18. AJ Kelly. Intravenous oxytocin alone for cervical ripening and induction of labour. Cochrane Rev Abstract. 2007; ©2007 The Cochrane Collaboration Posted 07/01/2007. http://www.medscape.com/viewarticle/486505.
19. Sherner E. Levy A. Femstern C. Hallak M. Mazor M. Risk factors and outcome of failure to proress during the first stage of labour; a population based study. Acta Obstet Gynecol Scand 2002, 81, 222-6
20. Garreu WJ. Induction of labour. Med. J. Aust. 1960, 47; 929-35
21. Embrey MP, Mollison BG. The unfavourable cervix and induction of labour using a cervical balloon. J Obstet Gynaecol Br Common W 1967; 74 : 44.
22. Lieberman JR, Piura B, Chaim W, et al. The cervical balloon method for induction of labour. Acta Obstet Gynaecol Scand 1977; 56 : 499
23. St Onge RD, Connors GT. Pre induction cervical ripening A comparison of intracervical PG2 gel versus the Foley catheter. Am J Obstet Gynecol 1995: 172-6, S7.
24. Sciscione, et al. a prospective randomized comparison of foley catheter insertion versus intracervical prostaglandin E2 gel for preinduction cervical ripening. Am J Obstet Gynecol. 1999;180:55-59
25. (Roni Levy. Asaf Ferber, Alon Ben-Arie, Beatrice Paz, Ynon Hazan, Isaac Blickstein, Zion J. Hagay. , a randomized comparison of early versus late amniotomy following cervical ripening with a Foley catheter. Br Obstet Gynecol 2002;109:168-172.
26. M Boulvain Mechanical methods for induction of labour Abstract. The Cochrane Collaboration 2007; http://www.medscape.com/viewarticle/485567.
27. Crane et al. induction of labour at term. SOGC Clinical Practice Guideline. 2001;107)
Published
2011-06-01
How to Cite
ELSADIG, Abdallah H.; HAKEEM, Mustafa A.; ABDUL HAFEEZ, Abdul-Rahman.
CERVICAL RIPENING AND INDUCTION OF LABOUR WITH FOLEY'S CATHETER COMPARED TO OXYTOCIN.
Gezira Journal of Health Sciences, [S.l.], v. 7, n. 1, june 2011.
ISSN 1810-5386. Available at: <http://37.60.236.48/index.php/gjhs/article/view/276>. Date accessed: 03 june 2026.
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