Foley catheter for induction of labor: Potential barriers to adopting the technique

Academic Article

Abstract

  • © 2015 Nature America, Inc. All rights reserved. Objective: To evaluate if a learning curve exists for cervical Foley placement for labor induction in women with unfavorable cervices and whether labor curves differ compared with the dinoprostone insert (PGE2). Study Design: We conducted a secondary analysis of a multicenter randomized controlled trial. Result: For Foley and PGE2, successful placement occurred in 157/185 (85%) and 188/191 (98%) women (P<0.001). Unsuccessful Foley placements decreased over time (P=0.005); all occurred at the site previously using PGE2 preferentially. In women with allocated agent placed successfully who achieved complete cervical dilation, median progress with Foley (n=112), compared with PGE2 (n=123), was: 1-3 cm (6.2 vs 14.1 h; P<0.001), 3-6 cm (11.1 vs 6.7 h; P<0.001) and 6-10 cm (1.9 vs 1.5 h; P=0.14). Conclusion: There is a learning curve for placing cervical Foley catheters. Despite faster times to delivery, Foley is associated with slower dilation from 3 to 6 cm compared with PGE2.
  • Published In

    Digital Object Identifier (doi)

    Author List

  • Edwards RK; Szychowski JM; Bodea-Braescu AV; Biggio JR; Lin MG
  • Start Page

  • 996
  • End Page

  • 999
  • Volume

  • 35
  • Issue

  • 12