| Preinduction cervical ripening with the Foley catheter and the risk of subsequent preterm birth. | |
| | |
MedLine Citation:
|
PMID: 15042009 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: The Foley catheter is a safe and effective form of preinduction cervical ripening and is quickly growing in popularity. Its major effect appears to be through mechanical dilation, which has raised the concern that the use of the Foley catheter for cervical ripening may damage the cervix and result in a higher rate of subsequent preterm birth. STUDY DESIGN: We conducted a review of all induction of labor at our institution from July 1998 to July 2001 that required preinduction cervical ripening and had a subsequent birth. The primary outcome variable was preterm birth at <35 weeks of gestation. Demographic and potential confounding variables were analyzed. A probability value of <.05 was considered significant. RESULTS: The cases of 126 women (63 women in the Foley group and 63 women in the prostaglandin group) were studied. Women in the prostaglandin group had a prostaglandin agent used. There was no difference in maternal age, gravidity, parity, Bishop score, total time of induction, gestational age, oxytocin use, maximum oxytocin level, tobacco or drug use, or type of delivery in the index pregnancy between the groups. In the subsequent pregnancies, there were no differences in maternal age, gravidity, parity, spontaneous abortions, terminations, cone or Loop Electrosurgical Excision Procedure (LEEP) procedures, history of cervical manipulation, tobacco or drug use, stillbirth, need for induction, mode of delivery, episiotomy, gestational age at delivery, Apgar scores, labor duration, use of oxytocin, or birth weight. There were no differences in preterm birth at 37, 35, or 32 weeks of gestation between the groups. CONCLUSION: The use of the Foley catheter for preinduction cervical ripening does not appear to increase the risk of preterm birth in a subsequent pregnancy. |
| | |
Authors:
|
Anthony Sciscione; Molly Larkin; Anne O'Shea; Marjorie Pollock; Matthew Hoffman; Garrett Colmorgen |
Related Documents
:
|
3224459 - Cervical incompetence and preterm labor. 7094819 - The value of colposcopy in evaluating cervical intraepithelial neoplasia during pregnancy. 11555449 - Patterns of normal change in cervical length and width during pregnancy in nulliparous ... 1801679 - Intra-cervical prostaglandin e2 gel in management of dead fetus in utero. 6851559 - The zoapatle iv--toxicological and clinical studies. 2551749 - Enzymatic collagen degradation in the pregnant guinea pig cervix during physiological m... 9376009 - Pregnancy outcomes following false-positive multiple marker screening tests. 15132369 - Characteristics of new-onset ventricular arrhythmias in pregnancy. 17293789 - Do current retinopathy of prematurity screening guidelines miss the early development o... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: American journal of obstetrics and gynecology Volume: 190 ISSN: 0002-9378 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 2004 Mar |
Date Detail:
|
Created Date: 2004-03-25 Completed Date: 2004-04-22 Revised Date: 2005-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: United States |
Other Details:
|
Languages: eng Pagination: 751-4 Citation Subset: AIM; IM |
Affiliation:
|
Department of Obstetrics and Gynecology, Christiana Care Health Services, Newark, Del, USA. asciscione@drexel.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Balloon Dilatation / adverse effects* Cervical Ripening* Female Gestational Age Humans Labor, Induced* Obstetric Labor, Premature / etiology* Pregnancy Probability Retrospective Studies Risk Assessment |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Threatened abortion: A risk factor for poor pregnancy outcome, a population-based screening study.
Next Document: Randomized controlled trial of misoprostol for second-trimester pregnancy termination associated wit...