Role of Foleys catheter for pre-induction ripening of cervix

ABSTRACT

The unripe cervix may present a problem when delivery is indicated prior to the Spontaneous onset of labour. To assess the role of Foleys, catheter in improving cervical score prior to Induction of labour. Observational type of study. This study was conducted in the Department of Obstetrics and Gynecology, Ghulam Muhammad Mahar Medical College Teaching Hospital Khairpur, Sindh during six months period from January to June 2012. Foley,s catheter was used for pre-induction cervical Ripening in fifty patients with medical and Obstetrical indication for induction of labour with unfavorable cervix. The study group comprised 35[70%] primigravida and 15[30%] multigravida. The mean maternal age was 20-35 years. Foleys catheter No 18-22 was inserted in fully aseptic condition extra amniotic up to the level of Internal cervical os and was removed after 24 hours. Pre and post treatment cervical Condition was assessed by Bishop,s score. Foleys was inserted in 50 patients for pre-induction ripening of cervix. Thirty [60%] out of 50 patients delivered spontaneous vaginal delivery, 11[22%]Delivered by caesarean section due to failure to progress, fetal distress and CPD. Mean induction to delivery interval was 12.72hours.There were no cases of infection, Ruptured membranes, hemorrhage or other complications attributed to balloon Catheter used. Pre-induction cervical ripening with extra amniotic Foleys catheter Balloon has the advantages of being effective, simple, economical and free of Systemic serious side effects