Abstract

To describe the maternal and fetal outcomes with the use of the Foley catheter for induction of labor in high-risk pregnant women with previous caesarean section. An interventive and descriptive study was conducted from November 2013 to June 2014. A total of 39 pregnant women at term, with a live fetus, cephalic presentation, estimated fetal weight <4,000 g, with previous cesarean section, medical indications for induction of labor, Bishop score ≤6 and amniotic fluid index >5 cm were included. A number 16F Foley catheter was introduced for a maximum of 24 hours, and was considered to be satisfactory when the patient began labor within 24 hours. Labor was successfully induced in 79.5% of pregnant women. Nine women achieved vaginal delivery (23.1%), with a frequency of 18% of vaginal births occurring within 24 hours. The main indications for the induction of labor were hypertensive disorders (75%). The mean interval between the placement of the Foley catheter and the beginning of labor and delivery were 8.7±7.1 and 14.7±9.8 hours, respectively. Meconium-stained amniotic fluid was observed in two patients; and an Apgar score <7 in the first minute was detected in 5 newborns (12.8%). The Foley catheter is an alternative for the induction of labor in women with previous caesarean section, despite the low vaginal delivery rate.

Highlights

  • To describe the maternal and fetal outcomes with the use of the Foley catheter for induction of labor in highrisk pregnant women with previous caesarean section

  • As principais indicações da indução do parto foram síndromes hipertensivas (75%; n=30), seguida de diabetes (20%, n=8), ruptura prematura das membranas (5%; n=2), gestação prolongada (2,5%; n=1) e líquido amniótico diminuído (2,5%; n=1)

  • A taxa de parto vaginal foi menor do que a encontrada em outros estudos que utilizaram a sonda de Foley em mulheres com cesariana prévia, o qual variou entre 43,7 e 64,1%16,17,20,21

Read more

Summary

Introduction

To describe the maternal and fetal outcomes with the use of the Foley catheter for induction of labor in highrisk pregnant women with previous caesarean section. A sonda de Foley é usada na indução do trabalho de parto, principalmente nos casos em que há contraindicação para uso das prostaglandinas, como na presença de cesariana anterior[8,11,12].

Results
Conclusion
Full Text
Published version (Free)

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call