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Effect of cervical Bishop score on induction of labor at term in primiparas using Foley catheter balloon: a retrospective study.
Li, Shu-Fen; Ju, Hui-Hui; Feng, Chuan-Shou.
Afiliación
  • Li SF; Obstetrical Department, Changzhou Women and Children Health Hospital Affiliated to Nanjing Medical University, Changzhou, Jiangsu, China.
  • Ju HH; Obstetrical Department, Changzhou Women and Children Health Hospital Affiliated to Nanjing Medical University, Changzhou, Jiangsu, China.
  • Feng CS; Obstetrical Department, Changzhou Women and Children Health Hospital Affiliated to Nanjing Medical University, Changzhou, Jiangsu, China. feng801sss@outlook.com.
BMC Pregnancy Childbirth ; 24(1): 401, 2024 May 31.
Article en En | MEDLINE | ID: mdl-38822253
ABSTRACT

BACKGROUND:

Previous studies had found that the mechanical methods were as effective as pharmacological methods in achieving vaginal delivery. However, whether balloon catheter induction is suitable for women with severe cervical immaturity and whether it will increase the related risks still need to be further explored. RESEARCH

AIM:

To evaluate the efficacy and safety of Foley catheter balloon for labor induction at term in primiparas with different cervical scores.

METHODS:

A total of 688 primiparas who received cervical ripening with a Foley catheter balloon were recruited in this study. They were divided into 2 groups Group 1 (Bishop score ≤ 3) and Group 2 (3 < Bishop score < 7). Detailed medical data before and after using of balloon were faithfully recorded.

RESULTS:

The cervical Bishop scores of the two groups after catheter placement were all significantly higher than those before (Group 1 5.49 ± 1.31 VS 2.83 ± 0.39, P<0.05; Group 2 6.09 ± 1.00 VS 4.45 ± 0.59, P<0.05). The success rate of labor induction in group 2 was higher than that in group 1 (P<0.05). The incidence of intrauterine infection in Group 1 was higher than that in Group 2 (18.3% VS 11.3%, P<0.05).

CONCLUSION:

The success rates of induction of labor by Foley catheter balloon were different in primiparas with different cervical conditions, the failure rate of induction of labor and the incidence of intrauterine infection were higher in primiparas with severe cervical immaturity.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuello del Útero / Maduración Cervical / Trabajo de Parto Inducido Límite: Adult / Female / Humans / Pregnancy Idioma: En Revista: BMC Pregnancy Childbirth Asunto de la revista: OBSTETRICIA Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuello del Útero / Maduración Cervical / Trabajo de Parto Inducido Límite: Adult / Female / Humans / Pregnancy Idioma: En Revista: BMC Pregnancy Childbirth Asunto de la revista: OBSTETRICIA Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido