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A randomised comparison of early versus late amniotomy following cervical ripening with a Foley catheter.
- Source :
-
British Journal of Obstetrics & Gynaecology . Feb2002, Vol. 109 Issue 2, p168. 5p. - Publication Year :
- 2002
-
Abstract
- : ObjectivesRipening of the cervix with a Foley catheter commonly results in cervical dilatation without contractions. We examined the outcome of labour in women who underwent induction of labour using a Foley catheter, followed by either 1. early amniotomy, or 2. augmentation of labour by oxytocin and late amniotomy: DesignProspective randomised clinical trial: SettingLabour and delivery ward of a university teaching hospital: ParticipantsPregnant women ≥38 weeks of a singleton gestation, who had had no prior caesarean section: MethodsAll women underwent cervical ripening using a Foley catheter. Following removal of the catheter, women were randomly assigned to either early (n = 80) or late amniotomy (n = 88).Main outcome measures Comparison of mode of delivery and duration of labour between the two groups: ResultsThe rate of caesarean section was significantly higher in the early amniotomy group compared with the late amniotomy group (25% vs 7.9%; relative risk 1.74; 95% CI 1.3 – 2.34). The increase in caesarean section rate was due primarily to dystocia (15% vs 3.3%; relative risk 1.8; 95% CI 1.32 – 2.45). When excluding caesarean deliveries, no significant difference was found in duration of labour between the groups (8.3 hours (3.8) vs 7.7 hours (2.9)): ConclusionsIn women who undergo cervical ripening with a Foley catheter, augmentation of labour by oxytocin followed by amniotomy during active labour results in a lower rate of caesarean delivery for dystocia [ABSTRACT FROM AUTHOR]
- Subjects :
- *PREGNANCY
*LABOR (Obstetrics)
*OBSTETRICS
Subjects
Details
- Language :
- English
- ISSN :
- 03065456
- Volume :
- 109
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- British Journal of Obstetrics & Gynaecology
- Publication Type :
- Academic Journal
- Accession number :
- 7755550
- Full Text :
- https://doi.org/10.1111/j.1471-0528.2002.01137.x