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Outcome of Induction of Labor with Foley’s Catheter in Women with Previous One Cesarean Section with Unfavorable Cervix: An Experience From a Tertiary Care Institute in South India

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Abstract

Background

Induction of labor in women with previous cesarean section is associated by the fear of scar rupture, resulting in high rates of repeat scheduled cesarean section. Mechanical methods are being advocated as a safe method. We present our experience of vaginal birth rates and safety profile with single-balloon Foley’s catheter for induction of labor in women with previous one cesarean section.

Methods

We studied 96 women admitted in Women and Children Hospital JIPMER, India, with a previous cesarean section at term having unfavorable cervix and undergoing induction of labor. Foley’s catheter inflated to 60 ml was used for cervical ripening for 24 h followed by strict oxytocin infusion protocol.

Results

The mean Bishop score before induction of labor was 3.3 ± 0.88. Ripening with Foley’s catheter resulted in mean improvement in the Bishop score by 2.56 ± 0.67. Forty-seven percent women spontaneously expelled the Foley’s catheter, and 53.1% achieved contractions spontaneously. The successful vaginal birth rate was 40%. Emergency caesarean section was more likely in women with poor post ripening Bishop score, meconium stained liquor and abnormal fetal heart rate pattern during labour. There was one scar dehiscence, one neonate with low Apgar score. There was no rupture uterus.

Conclusion

Induction of labor with Foley’s catheter resulted in a 40% successful vaginal birth rate and was found to be safe with only one scar dehiscence and no perinatal or maternal mortality. There was no perinatal or maternal mortality.

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Acknowledgement

We acknowledge the help from Dr. C. Palanivel Additional Professor of community medicine JIPMER for the help rendered in statistical analysis.

Funding

There was no funding for this work.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), 68 First Cross Nanbargal Nagar, Reddiyarpalayam Dhanvantri Nagar, Puducherry, 605 006, India

    Venkata A. RamyaMohana & Gowri Dorairajan

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  1. Venkata A. RamyaMohana
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  2. Gowri Dorairajan
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Correspondence to Gowri Dorairajan.

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The authors declare that there is no conflict of interest.

Ethical statement

The study was approved by the Institute Ethics Board. No IEC No. JIP/IEC/2016/1046.

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Informed consent was obtained from all the participants.

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RamyaMohana Venkata A is a MD. Former Resident Doctor, Department of Obstetrics and Gynecology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), 68 First Cross Nanbargal Nagar, Reddiyarpalayam Dhanvantri Nagar, Puducherry 605 006, India; Gowri Dorairajan is a Professor and Head of unit, Department of Obstetrics and Gynecology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), 68 First Cross Nanbargal Nagar, Reddiyarpalayam Dhanvantri Nagar, Puducherry 605 006, India.

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RamyaMohana, V.A., Dorairajan, G. Outcome of Induction of Labor with Foley’s Catheter in Women with Previous One Cesarean Section with Unfavorable Cervix: An Experience From a Tertiary Care Institute in South India. J Obstet Gynecol India 72, 26–31 (2022). https://doi.org/10.1007/s13224-021-01459-0

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