Efficacy and Safety of Foley Catheter Balloon for Cervix Priming in Term Pregnancy
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8003 |
Resumo: | Introduction: Foley catheter promotes cervix priming by a direct mechanical effect of distension.Material and Methods: A prospective observational study was conducted at a tertiary hospital, including all cases of induction of labor with Foley catheter between September 1, 2013 and November 30, 2015. Women were eligible if they had a singleton pregnancy with a Bishop score < 6 and a gestational age ≥ 41 weeks or a medical indication for induction of labor. The primary outcome was the Bishop score variation (difference between Bishop score before and after insertion of Foley catheter). Mode of delivery, induction-to-delivery time, uterine tachysystole with fetal decelerations, peripartum fever ≥ 38º C, maternal pain and mortality were also analyzed.Results: Within 201 inductions with Foley catheter, average increase in Bishop score after catheter placement was three (1 - 7), with only 5% (11/201) of unmodified cervix after catheter removal/extrusion. Vaginal delivery rate was 71% (142/201) and in women with a previous cesarean section (n = 40) was 37% (15/40). Average induction-to-delivery time was 38 hours (4 - 120). Uterine infection rate was 3% (6/201). There was only one case of significant vaginal bleeding which required immediate catheter removal. There has been no significative maternal or neonatal morbidity.Discussion/Conclusion: Foley catheter is a safe and effective method of cervical priming for women with an unfavorable cervix, even in the case of a previous cesarean delivery. |
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Efficacy and Safety of Foley Catheter Balloon for Cervix Priming in Term PregnancyEficácia e Segurança do Cateter de Foley para Maturação Cervical Pré-Indução na Gravidez de TermoCatheterization/methodsCervical RipeningLaborInducedCateterização/métodosMaturidade CervicalTrabalho de Parto InduzidoIntroduction: Foley catheter promotes cervix priming by a direct mechanical effect of distension.Material and Methods: A prospective observational study was conducted at a tertiary hospital, including all cases of induction of labor with Foley catheter between September 1, 2013 and November 30, 2015. Women were eligible if they had a singleton pregnancy with a Bishop score < 6 and a gestational age ≥ 41 weeks or a medical indication for induction of labor. The primary outcome was the Bishop score variation (difference between Bishop score before and after insertion of Foley catheter). Mode of delivery, induction-to-delivery time, uterine tachysystole with fetal decelerations, peripartum fever ≥ 38º C, maternal pain and mortality were also analyzed.Results: Within 201 inductions with Foley catheter, average increase in Bishop score after catheter placement was three (1 - 7), with only 5% (11/201) of unmodified cervix after catheter removal/extrusion. Vaginal delivery rate was 71% (142/201) and in women with a previous cesarean section (n = 40) was 37% (15/40). Average induction-to-delivery time was 38 hours (4 - 120). Uterine infection rate was 3% (6/201). There was only one case of significant vaginal bleeding which required immediate catheter removal. There has been no significative maternal or neonatal morbidity.Discussion/Conclusion: Foley catheter is a safe and effective method of cervical priming for women with an unfavorable cervix, even in the case of a previous cesarean delivery.Introdução: O cateter de Foley promove maturação cervical devido ao efeito mecânico directo de distensão.Material e Métodos: Estudo prospectivo observacional realizado num hospital terciário, incluindo todas as induções do trabalho de parto com cateter de Foley entre 01 de setembro de 2013 e 30 de novembro de 2015. Incluíram-se grávidas de feto único, com um índice de Bishop < 6 e idade gestacional ≥ 41 semanas, ou indicação médica para indução. O desfecho primário foi a variação do índice de Bishop (diferença entre índice de Bishop antes e após inserção do cateter de Foley). Os desfechos secundários foram: tipo de parto, intervalo de tempo indução-parto, taquissistolia com desacelerações da frequência cardíaca fetal, febre periparto ≥ 38º C, dor materna e mortalidade.Resultados: Incluíram-se 201 induções do trabalho de parto com cateter de Foley. Verificou-se um aumento médio do índice de Bishop após a colocação do cateter de três (1 - 7), com apenas 5% dos casos (11/201) sem qualquer modificação do colo após a remoção/ extrusão do cateter. A taxa de parto vaginal foi 71% (142/201) e nas grávidas com uma cesariana anterior (n = 40) foi 37% (15/40). A média do intervalo de tempo indução-parto foi 38 horas (4 - 120). A taxa de infecção uterina foi 3% (6/201). Um caso de hemorragia vaginal significativa exigiu a remoção do cateter. Não se registou morbilidade materna ou neonatal significativa.Discussão/Conclusão: O cateter de Foley é um método seguro e eficaz para maturação cervical em grávidas com colo desfavorável, mesmo com cesariana anterior.Ordem dos Médicos2017-04-28info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfapplication/mswordapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8003oai:ojs.www.actamedicaportuguesa.com:article/8003Acta Médica Portuguesa; Vol. 30 No. 4 (2017): April; 281-284Acta Médica Portuguesa; Vol. 30 N.º 4 (2017): Abril; 281-2841646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8003https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8003/5002https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8003/8643https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8003/8818https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8003/8940Direitos de Autor (c) 2017 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessPoliciano, CatarinaPimenta, MarianaMartins, DianaClode, Nuno2022-12-20T11:05:23Zoai:ojs.www.actamedicaportuguesa.com:article/8003Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:31.763303Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Efficacy and Safety of Foley Catheter Balloon for Cervix Priming in Term Pregnancy Eficácia e Segurança do Cateter de Foley para Maturação Cervical Pré-Indução na Gravidez de Termo |
title |
Efficacy and Safety of Foley Catheter Balloon for Cervix Priming in Term Pregnancy |
spellingShingle |
Efficacy and Safety of Foley Catheter Balloon for Cervix Priming in Term Pregnancy Policiano, Catarina Catheterization/methods Cervical Ripening Labor Induced Cateterização/métodos Maturidade Cervical Trabalho de Parto Induzido |
title_short |
Efficacy and Safety of Foley Catheter Balloon for Cervix Priming in Term Pregnancy |
title_full |
Efficacy and Safety of Foley Catheter Balloon for Cervix Priming in Term Pregnancy |
title_fullStr |
Efficacy and Safety of Foley Catheter Balloon for Cervix Priming in Term Pregnancy |
title_full_unstemmed |
Efficacy and Safety of Foley Catheter Balloon for Cervix Priming in Term Pregnancy |
title_sort |
Efficacy and Safety of Foley Catheter Balloon for Cervix Priming in Term Pregnancy |
author |
Policiano, Catarina |
author_facet |
Policiano, Catarina Pimenta, Mariana Martins, Diana Clode, Nuno |
author_role |
author |
author2 |
Pimenta, Mariana Martins, Diana Clode, Nuno |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Policiano, Catarina Pimenta, Mariana Martins, Diana Clode, Nuno |
dc.subject.por.fl_str_mv |
Catheterization/methods Cervical Ripening Labor Induced Cateterização/métodos Maturidade Cervical Trabalho de Parto Induzido |
topic |
Catheterization/methods Cervical Ripening Labor Induced Cateterização/métodos Maturidade Cervical Trabalho de Parto Induzido |
description |
Introduction: Foley catheter promotes cervix priming by a direct mechanical effect of distension.Material and Methods: A prospective observational study was conducted at a tertiary hospital, including all cases of induction of labor with Foley catheter between September 1, 2013 and November 30, 2015. Women were eligible if they had a singleton pregnancy with a Bishop score < 6 and a gestational age ≥ 41 weeks or a medical indication for induction of labor. The primary outcome was the Bishop score variation (difference between Bishop score before and after insertion of Foley catheter). Mode of delivery, induction-to-delivery time, uterine tachysystole with fetal decelerations, peripartum fever ≥ 38º C, maternal pain and mortality were also analyzed.Results: Within 201 inductions with Foley catheter, average increase in Bishop score after catheter placement was three (1 - 7), with only 5% (11/201) of unmodified cervix after catheter removal/extrusion. Vaginal delivery rate was 71% (142/201) and in women with a previous cesarean section (n = 40) was 37% (15/40). Average induction-to-delivery time was 38 hours (4 - 120). Uterine infection rate was 3% (6/201). There was only one case of significant vaginal bleeding which required immediate catheter removal. There has been no significative maternal or neonatal morbidity.Discussion/Conclusion: Foley catheter is a safe and effective method of cervical priming for women with an unfavorable cervix, even in the case of a previous cesarean delivery. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-04-28 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8003 oai:ojs.www.actamedicaportuguesa.com:article/8003 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8003 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/8003 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8003 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8003/5002 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8003/8643 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8003/8818 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8003/8940 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2017 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2017 Acta Médica Portuguesa |
eu_rights_str_mv |
openAccess |
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application/pdf application/pdf application/msword application/pdf |
dc.publisher.none.fl_str_mv |
Ordem dos Médicos |
publisher.none.fl_str_mv |
Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 30 No. 4 (2017): April; 281-284 Acta Médica Portuguesa; Vol. 30 N.º 4 (2017): Abril; 281-284 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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