A randomised controlled trial comparing 30 mL and 80 mL in Foley catheter for induction of labour after previous Caesarean section

Trop Doct. 2016 Oct;46(4):205-211. doi: 10.1177/0049475515626031. Epub 2016 Jan 15.

Abstract

Inducing labour with a Foley balloon catheter rather than using oxytocin or prostaglandins is considered to be less risky if the uterus is scarred.1 It is not known if more fluid in the balloon is more effective without being more dangerous. Volumes of 80 mL and 30 mL were compared in 154 eligible women. Mode of delivery, duration of labour and delivery within 24 h were similar in both groups. However, the second group required oxytocin more frequently. Though more scar dehiscences occurred in the first group, the difference was not significant.

Keywords: 30 mL or 80 mL in catheter balloon; Foley catheter induction of labour; Vaginal birth after caesarean section (VBAC); caesarean section; trial of scar; uterine rupture.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Cervical Ripening / drug effects*
  • Cesarean Section / adverse effects*
  • Cicatrix / complications
  • Female
  • Humans
  • Labor, Induced / instrumentation
  • Labor, Induced / methods*
  • Oxytocics / administration & dosage
  • Oxytocin / administration & dosage
  • Pregnancy
  • Pregnancy Outcome
  • Urinary Catheterization / adverse effects
  • Urinary Catheterization / instrumentation
  • Urinary Catheterization / methods*
  • Uterine Contraction / physiology
  • Uterine Rupture / etiology
  • Vaginal Birth after Cesarean*

Substances

  • Oxytocics
  • Oxytocin