2021Journal of 108 - Clinical Medicine and PhamarcyOpen access

Effective evaluation of labor induction by modifier double balloon Foley catheter at 108 Military Central Hospital

Nguyen Van Thai, Tran Thanh Huong, Trinh Hung Dung

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Abstract

Objective: To evaluate the efficacy of labor induction by modifier double balloon Foley catheter (MDB) in pregnant women with the indication of vaginal delivery. Subject and method: Longitudinal prospective study on 82 pregnant women at Obtetricts Department of 108 Military Central Hospital from June 2020 to September 2021 with criteria: Pregnancy age was older than or equal to 37 weeks, singleton, vertex presentation, their cervical Bishop score < 6, cervix is unfavorable to detach the amnio membranes, intact membranes, to designate termination of pregnancy by vaginal delivery and consent to participate in the study. Labor induction was conducted by double balloon Foley modifier catheter. Result: With success criteria is defined as Bishop score after labor induction larger or equal 7, the success rate with MDB was 86.6%, the increase of Bishop scores averaged 5.63 points with p<0.001. 7.32% tiny fever was connected to Foley catheters. The cesarean section rate after induction was 14.6%. The vaginal birth rate after the succession of labor induction using combined MDBs was 88.7%. There was not any complication for the women and the newborn babies. Conclusion: Our findings suggest that MDB using labor induction was feasible and high effective procedure as well as without compromising maternal or fetal safety.

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Objective: To evaluate the efficacy of labor induction by modifier double balloon Foley catheter (MDB) in pregnant women with the indication of vaginal delivery. Subject and method: Longitudinal prospective study on 82 pregnant women at Obtetricts Department of 108 Military Central Hospital from June 2020 to September 2021 with criteria: Pregnancy age was older than or equal to 37 weeks, singleton, vertex presentation, their cervical Bishop score < 6, cervix is unfavorable to detach the amnio membranes, intact membranes, to designate termination of pregnancy by vaginal delivery and consent to participate in the study. Labor induction was conducted by double balloon Foley modifier catheter. Result: With success criteria is defined as Bishop score after labor induction larger or equal 7, the success rate with MDB was 86.6%, the increase of Bishop scores averaged 5.63 points with p<0.001. 7.32% tiny fever was connected to Foley catheters. The cesarean section rate after induction was 14.6%. The vaginal birth rate after the succession of labor induction using combined MDBs was 88.7%. There was not any complication for the women and the newborn babies. Conclusion: Our findings suggest that MDB using labor induction was feasible and high effective procedure as well as without compromising maternal or fetal safety.

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Available abstract

Objective: To evaluate the efficacy of labor induction by modifier double balloon Foley catheter (MDB) in pregnant women with the indication of vaginal delivery. Subject and method: Longitudinal prospective study on 82 pregnant women at Obtetricts Department of 108 Military Central Hospital from June 2020 to September 2021 with criteria: Pregnancy age was older than or equal to 37 weeks, singleton, vertex presentation, their cervical Bishop score < 6, cervix is unfavorable to detach the amnio membranes, intact membranes, to designate termination of pregnancy by vaginal delivery and consent to participate in the study. Labor induction was conducted by double balloon Foley modifier catheter. Result: With success criteria is defined as Bishop score after labor induction larger or equal 7, the success rate with MDB was 86.6%, the increase of Bishop scores averaged 5.63 points with p<0.001. 7.32% tiny fever was connected to Foley catheters. The cesarean section rate after induction was 14.6%. The vaginal birth rate after the succession of labor induction using combined MDBs was 88.7%. There was not any complication for the women and the newborn babies. Conclusion: Our findings suggest that MDB using labor induction was feasible and high effective procedure as well as without compromising maternal or fetal safety.

Key concepts: Foley catheter, Medicine, Foley, Labor induction, Bishop score, Obstetrics, Cervix, Balloon

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