ISSN: 1859 - 2872
Labor induction by double ballon nested Foley catheter simulated as double balloon Cook catheter: Efficacy and successful predictive factors
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Abstract
Objective: To evaluate the efficacy and some of the successful predictive factors of labor induction by double ballon nested Foley catheter simulated as double balloon Cook catheter. Subject and method: Longitudinal prospective study on 117 pregnant women conducted by double balloon nested Foley catheter at Department of Obstetrics & Gynecology, 108 Military Central Hospital from 10/2020 to 06/2022. Their pregnancy were singleton, cephalic presentation, unfavorable cervix, Bishop score < 6, intact membranes, to designate termination of pregnancy by vaginal delivery and consent to participate in the study. Result: With success criteria is defined as Bishop score after labor induction ≥ 7, the success rate with modifier double balloon Foley catheter was 81.2%, the vaginal birth rate was 87.2%. There was not any serious complication for the women and the newborn babies. The successful predictive factors of labor induction in this study were multiparous women, cervical length ≤ 28mm, preinduction Bishop score ≥ 3 points. Conclusion: The double ballon nested Foley catheter is an innovative, effective solution with high ripening success rates and is associated with a high rate of vaginal birth, without compromising maternal or fetal safety. Predictive factors for successful labor induction are multiparous women, short cervical length, and high initial Bishop score.
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