Use of intracervical foley catheter for induction of labour in cases of previous caesarean section

Experience of a single tertiary centre in Oman

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objectives: This study aimed to evaluate rates of success and perinatal complications of labour induction using an intracervical Foley catheter among women with a previous Caesarean delivery at a tertiary centre in Oman. Methods: This retrospective cohort study included 68 pregnant women with a history of a previous Caesarean section who were admitted for induction via Foley catheter between January 2011 and December 2013 to the Sultan Qaboos University Hospital, Muscat, Oman. Patient data were collected from electronic and delivery ward records. Results: Most women were 25–35 years old (76.5%) and 20 women had had one previous vaginal delivery (29.4%). The most common indication for induction of labour was intrauterine growth restriction with oligohydramnios (27.9%). Most women delivered after 40 gestational weeks (48.5%) and there were no neonatal admissions or complications. The majority experienced no complications during the induction period (85.3%), although a few had vaginal bleeding (5.9%), intrapartum fever (4.4%), rupture of the membranes (2.9%) and cord prolapse shortly after insertion of the Foley catheter (1.5%). However, no cases of uterine rupture or scar dehiscence were noted. Overall, the success rate of vaginal birth after a previous Caesarean delivery was 69.1%, with the remaining patients undergoing an emergency Caesarean section (30.9%). Conclusion: The use of a Foley catheter in the induction of labour in women with a previous Caesarean delivery appears a safe option with a good success rate and few maternal and fetal complications.

Original languageEnglish
Pages (from-to)e445-e450
JournalSultan Qaboos University Medical Journal
Volume16
Issue number4
DOIs
Publication statusPublished - Nov 1 2016

Fingerprint

Oman
Induced Labor
Cesarean Section
Catheters
Oligohydramnios
Uterine Rupture
Uterine Hemorrhage
Birth Rate
Prolapse
Cicatrix
Pregnant Women
Rupture
Emergencies
Cohort Studies
Fever
Retrospective Studies
Mothers
Membranes
Growth

Keywords

  • Catheters
  • Induced labor
  • Oman
  • Pregnancy complications
  • Vaginal birth after cesarean

ASJC Scopus subject areas

  • Medicine(all)

Cite this

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title = "Use of intracervical foley catheter for induction of labour in cases of previous caesarean section: Experience of a single tertiary centre in Oman",
abstract = "Objectives: This study aimed to evaluate rates of success and perinatal complications of labour induction using an intracervical Foley catheter among women with a previous Caesarean delivery at a tertiary centre in Oman. Methods: This retrospective cohort study included 68 pregnant women with a history of a previous Caesarean section who were admitted for induction via Foley catheter between January 2011 and December 2013 to the Sultan Qaboos University Hospital, Muscat, Oman. Patient data were collected from electronic and delivery ward records. Results: Most women were 25–35 years old (76.5{\%}) and 20 women had had one previous vaginal delivery (29.4{\%}). The most common indication for induction of labour was intrauterine growth restriction with oligohydramnios (27.9{\%}). Most women delivered after 40 gestational weeks (48.5{\%}) and there were no neonatal admissions or complications. The majority experienced no complications during the induction period (85.3{\%}), although a few had vaginal bleeding (5.9{\%}), intrapartum fever (4.4{\%}), rupture of the membranes (2.9{\%}) and cord prolapse shortly after insertion of the Foley catheter (1.5{\%}). However, no cases of uterine rupture or scar dehiscence were noted. Overall, the success rate of vaginal birth after a previous Caesarean delivery was 69.1{\%}, with the remaining patients undergoing an emergency Caesarean section (30.9{\%}). Conclusion: The use of a Foley catheter in the induction of labour in women with a previous Caesarean delivery appears a safe option with a good success rate and few maternal and fetal complications.",
keywords = "Catheters, Induced labor, Oman, Pregnancy complications, Vaginal birth after cesarean",
author = "Hazel Gonsalves and Nihal Al-Riyami and Tamima Al-Dughaishi and Vaidayanathan Gowri and Mohammed Al-Azri and Ayesha Salahuddin",
year = "2016",
month = "11",
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doi = "10.18295/squmj.2016.16.04.007",
language = "English",
volume = "16",
pages = "e445--e450",
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T1 - Use of intracervical foley catheter for induction of labour in cases of previous caesarean section

T2 - Experience of a single tertiary centre in Oman

AU - Gonsalves, Hazel

AU - Al-Riyami, Nihal

AU - Al-Dughaishi, Tamima

AU - Gowri, Vaidayanathan

AU - Al-Azri, Mohammed

AU - Salahuddin, Ayesha

PY - 2016/11/1

Y1 - 2016/11/1

N2 - Objectives: This study aimed to evaluate rates of success and perinatal complications of labour induction using an intracervical Foley catheter among women with a previous Caesarean delivery at a tertiary centre in Oman. Methods: This retrospective cohort study included 68 pregnant women with a history of a previous Caesarean section who were admitted for induction via Foley catheter between January 2011 and December 2013 to the Sultan Qaboos University Hospital, Muscat, Oman. Patient data were collected from electronic and delivery ward records. Results: Most women were 25–35 years old (76.5%) and 20 women had had one previous vaginal delivery (29.4%). The most common indication for induction of labour was intrauterine growth restriction with oligohydramnios (27.9%). Most women delivered after 40 gestational weeks (48.5%) and there were no neonatal admissions or complications. The majority experienced no complications during the induction period (85.3%), although a few had vaginal bleeding (5.9%), intrapartum fever (4.4%), rupture of the membranes (2.9%) and cord prolapse shortly after insertion of the Foley catheter (1.5%). However, no cases of uterine rupture or scar dehiscence were noted. Overall, the success rate of vaginal birth after a previous Caesarean delivery was 69.1%, with the remaining patients undergoing an emergency Caesarean section (30.9%). Conclusion: The use of a Foley catheter in the induction of labour in women with a previous Caesarean delivery appears a safe option with a good success rate and few maternal and fetal complications.

AB - Objectives: This study aimed to evaluate rates of success and perinatal complications of labour induction using an intracervical Foley catheter among women with a previous Caesarean delivery at a tertiary centre in Oman. Methods: This retrospective cohort study included 68 pregnant women with a history of a previous Caesarean section who were admitted for induction via Foley catheter between January 2011 and December 2013 to the Sultan Qaboos University Hospital, Muscat, Oman. Patient data were collected from electronic and delivery ward records. Results: Most women were 25–35 years old (76.5%) and 20 women had had one previous vaginal delivery (29.4%). The most common indication for induction of labour was intrauterine growth restriction with oligohydramnios (27.9%). Most women delivered after 40 gestational weeks (48.5%) and there were no neonatal admissions or complications. The majority experienced no complications during the induction period (85.3%), although a few had vaginal bleeding (5.9%), intrapartum fever (4.4%), rupture of the membranes (2.9%) and cord prolapse shortly after insertion of the Foley catheter (1.5%). However, no cases of uterine rupture or scar dehiscence were noted. Overall, the success rate of vaginal birth after a previous Caesarean delivery was 69.1%, with the remaining patients undergoing an emergency Caesarean section (30.9%). Conclusion: The use of a Foley catheter in the induction of labour in women with a previous Caesarean delivery appears a safe option with a good success rate and few maternal and fetal complications.

KW - Catheters

KW - Induced labor

KW - Oman

KW - Pregnancy complications

KW - Vaginal birth after cesarean

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JO - Sultan Qaboos University Medical Journal

JF - Sultan Qaboos University Medical Journal

SN - 2075-051X

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