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Acta Obstet Gynecol Scand. 2014 Mar;93(3):296-301. doi: 10.1111/aogs.12320. Epub 2014 Jan 13.

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

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  • 1Department of Obstetrics and Gynecology, Ikazia Hospital, Rotterdam, the Netherlands.

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.

KEYWORDS:

Foley catheter; Vaginal birth after cesarean (VBAC); cesarean section; induction of labor; uterine rupture

PMID:
24354335
DOI:
10.1111/aogs.12320
[PubMed - indexed for MEDLINE]
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