Đánh giá hiệu quả khởi phát chuyển dạ của sonde Foley 2 bóng cải tiến trên thai quá ngày sinh tại Bệnh viện Trung ương Quân đội 108

Abstract

Objective: To evaluate the efficacy of labour induction by modifier double ballon Foley catheter in pro-long term gestational age with indication of vaginal delivery. Subject and method: Longitudinal prospective study on 69 pregnant women at Department of Obstetrics & Gynecology, 108 Military Central Hospital from 09/2020 to 09/2021: Their pregnancy were older than or equal 41 weeks, singleton, cephalic presentation, their cervical Bishop score < 6, cervical is unfavorable to detatch the amnio membrances, intact membranes, to designate termination of pregnancy by vaginal delivery and consent to participate in the study. Labour induction was conducted by double balloon Foley modifier catheter. Result: With success criteria is defined as Bishop score after labour induction, the success rate with modifier double balloon Foley catheter was 86.2%, the increase of Bishop scores averaged 4.2 points with p<0.001. 4.3% tiny fever was connected Foley catheter. The vaginal birth rate after induction was 86.9%. The vaginal birth rate after successment of labour induction using combined modifier double balloon foley catheter was 93.0%. There was not any complication for the women and the newborn babies. Conclusion: Our findings suggest that the modifier double balloon Foley catheter results in higher ripening success rates and is associated with a high rate of vaginal birth, withoit compromising maternal or fetal safety.