Cervical ripening with Foley catheter for induction of labor after cesarean section: a cohort study.

Abstract

OBJECTIVE:

To evaluate spontaneous vaginal delivery and complication rates after induction of labor with a transcervical Foley catheter in women with a previous cesarean delivery.

DESIGN:

Retrospective cohort study.

SETTING:

Secondary teaching hospital in the second largest city of the Netherlands.

POPULATION:

Women with a history of cesarean delivery (n = 208), undergoing induction of labor with a Foley catheter in a subsequent pregnancy.

MATERIAL AND METHODS:

The women who had induction of labor with a transcervical Foley catheter in the Ikazia Hospital, Rotterdam, between January 2003 and January 2012, were identified in a computerized database. Patient's records were checked for accuracy.

MAIN OUTCOME MEASURES:

Vaginal delivery rate, cesarean section rate, uterine rupture and maternal and neonatal (infectious) morbidity.

RESULTS:

Of the women 60% had a spontaneous vaginal delivery and 11% were delivered by vacuum extraction. Uterine rupture occurred in one woman. Postpartum hemorrhage was the most common maternal complication (12%). Maternal intrapartum and postpartum infections occurred in 5% and 1%. Proven neonatal infection was found in 3% of the cases. Two perinatal deaths occurred (1%), of which one was related to uterine rupture.

CONCLUSION:

Induction of labor with a transcervical Foley catheter is an effective method to achieve vaginal delivery in women with a previous cesarean delivery. There is a low risk of uterine rupture and maternal and neonatal (infectious) morbidity in this cohort.

• Authors: Marta Jozwiak, Hilde A van de Lest, Nicole B Burger, Marja G K Dijksterhuis, Jan Willem De Leeuw
• Journal: Acta obstetricia et gynecologica Scandinavica (Acta Obstet Gynecol Scand) Vol. 93 Issue 3 Pg. 296-301 (Mar 2014) ISSN: 1600-0412 [Electronic] United States
• PMID: 24354335 (Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't)
• Copyright: © 2013 Nordic Federation of Societies of Obstetrics and Gynecology.

Topics

• Catheter-Related Infections
• Cervical Ripening (physiology)
• Cohort Studies
• Cross Infection
• Female
• Humans
• Labor, Induced (adverse effects, methods)
• Logistic Models
• Netherlands
• Obstetric Labor Complications
• Pregnancy
• Retrospective Studies
• Risk
• Urinary Catheterization (methods, statistics & numerical data)
• Uterine Rupture (etiology)
• Vaginal Birth after Cesarean (methods, statistics & numerical data)