Intracervical Foley Catheter Versus Vaginal Isosorbid Mononitrate for Induction of Labor in Women With Previous One Cesarean Section

Mohamed Rezk, Zakaria Sanad, Ragab Dawood, Alaa Masood, Mohamed Emarh, Alaa Al Halaby

Abstract


Background: To compare the efficacy, safety and acceptability of intracervical Foley catheter versus vaginal isosorbid mononitrate (IMN) for induction of labor in women with previous one caesarean section at term.

Methods: A prospective clinical trial including 80 term pregnant women who were assigned randomly to receive either intracervical Foley catheter or moistened one tablet of IMN 40 mg vaginally was carried out. Induction to delivery interval and outcomes of labor, adverse effects and acceptability were assessed.

Results: There was shorter induction to delivery interval in the catheter group (22.2 4.99 h) when compared to the IMN group (26.1 3.98 h) (P < 0.05). There was a significant headache in the IMN group (10, 25%) in comparison to the catheter group (3, 7.5%). There was a significant maternal pyrexia in catheter group (12, 30%) when compared to IMN group (5, 12.5%). There was no difference between both groups regarding mode of delivery, neonatal outcome and method acceptability.

Conclusion: Intracervical Foley catheter is effective, safe and acceptable for labor induction in women with previous one lower segment caesarean section at term when compared to vaginal IMN but, with more maternal pyrexia.




J Clin Gynecol Obstet. 2014;3(2):55-61
doi: http://dx.doi.org/10.14740/jcgo243w


Keywords


Foley catheter; Isosorbid mononitrate; Labor induction; Caesarean section

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