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A randomized trial comparing a 30-mL and an 80-mL Foley catheter balloon for preinduction cervical ripening.
- Source :
- American Journal of Obstetrics & Gynecology; Nov2004, Vol. 191 Issue 5, p1632-1636, 5p, 3 Charts
- Publication Year :
- 2004
-
Abstract
- Objectives: The purpose of this study was to compare the efficacy of cervical ripening with 2 Foley catheter balloon volumes. Study design: Pregnant women admitted for induction of labor with a term singleton gestation were randomly assigned for cervical ripening by a balloon inflated with 30 mL or 80 mL of sterile saline. Results: Two hundred and three women were included in the analysis. Ripening of the cervix with the larger balloon volume was associated with a significantly higher rate of post-ripening dilatation of 3 cm or more (76.0% vs 52.4%, P < .001). In primiparous women, the larger balloon volume resulted in a significantly higher rate of deliveries by 24 hours (71.4% vs 49%, P < .05), and a significantly less requirement of augmentation with oxytocin (69.3% vs 90.4%, P < .05). Conclusion: Ripening of the unfavorable cervix in primiparous women with a Foley catheter balloon inflated with 80 mL provided effective more dilatation, faster labor, and decreased need for oxytocin than with a balloon inflated with 30 mL of sterile saline. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 00029378
- Volume :
- 191
- Issue :
- 5
- Database :
- Supplemental Index
- Journal :
- American Journal of Obstetrics & Gynecology
- Publication Type :
- Academic Journal
- Accession number :
- 15542352
- Full Text :
- https://doi.org/10.1016/j.ajog.2004.03.033