Elective Foley’s induction in previous one caesarean section

Authors

  • Aneri Desai Department of Obstetrics and Gynecology, GMERS Medical College and Hospital, Ahmedabad, Gujarat, India
  • Ritka Shrivastav Department of Obstetrics and Gynecology, GMERS Medical College and Hospital, Ahmedabad, Gujarat, India
  • Bhumika Dobariya Department of Obstetrics and Gynecology, GMERS Medical College and Hospital, Ahmedabad, Gujarat, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20222805

Keywords:

Bishop score, Caesarean section, FLAMM score, Foley’s catheter

Abstract

Background: American college of obstetricians and gynecologists and the American academy of family physicians recommended that pregnant women with a single previous caesarean delivery and a low-transverse incision should be offered a trial of labour. This study was planned to measure safety and efficacy of elective Foley’s induction as a method of induction in previous one caesarean section.

Methods: This was a prospective study of 150 women with previous caesarean section who were candidates for TOLAC admitted in labour room. Induction of labour via Foley’s catheter was done in group A whereas group B had a spontaneous onset of labour in previous caesarean section cases. Augmentation was done, if required.

Results: There was spontaneous expulsion of Foley’s catheter in 88% out of which 65.15% patients delivered vaginally and 34.84% were delivered by caesarean section. Out of 12% where Foley’s catheter had to be removed after 12 hours manually, 88.89% were delivered by caesarean section.

Conclusions: A change in Bishop score after induction with Foley’s catheter in previous caesarean section leads to higher chances of successful vaginal delivery. The likelihood of successful vaginal delivery increases with increase in FLAMM score.

References

American College of Obstetricians and Gynecologists. New guidelines to reduce repeat cesareans. In News Conference. Statement by Dr. L. Klein for Vaginal Birth after Cesarean. Washington, DC: ACOG News Release; 1985.

Committee opinion No. 164. Guidelines for vaginal delivery after previous cesarean birth. American College of Obstetricians and Gynaecologists, ACOG, Washington, DC; 1988.

Committee on Obstetric Practice. Vaginal delivery after a previous cesarean birth. ACOG Committee Opinion. 1994;143:1-3.

Uddin SF, Simon AE. Rates and success rates of trial of labor after cesarean delivery in the United States, 1990-2009. Matern Child Health J. 2013;17(7):1309-14.

American College of Obstetricians and Gynecologists. Vaginal birth after previous cesarean delivery. ACOG Pract Patt Bull. 1995;1:1-8.

Hadi H. Cervical ripening and labor induction: clinical guidelines. Clin Obstet Gynecol. 2000;43(3):524-36.

American College of Obstetricians and Gynecologists. ACOG Practice bulletin no. 115: Vaginal birth after previous cesarean delivery. Obstet Gynecol. 2010;116(2 Pt 1):450.

Cunningham F, Leveno K, Bloom S, Spong CY, Dashe J. Williams Obstetrics. 24th edn. Mcgraw-Hill; 2014.

American College of Obstetricians and Gynecologists. ACOG Practice bulletin no. 115: Vaginal birth after previous cesarean delivery. Obstet Gynecol. 2010;116(2 Pt 1):450.

Cunningham F, Leveno K, Bloom S, Spong CY, Dashe J. Prior cesarean delivery- cervical ripening an labor stimulation. In: Williams Obstetrics. 24th edn. Mcgraw-Hill; 2014;597-598.

Ferradas ER, Alvarado IL, Gabilondo MA, Diez-Itza I, García-Adanez J. Double balloon device compared to oxytocin for induction of labour after previous caesarean section. Open J Obstet Gynecol. 2013;3(1A).

Bujold E, Blackwell SC, Gauthier RJ. Cervical ripening with transcervical foley catheter and the risk of uterine rupture. Obstet Gynecol. 2004;103(1):18-23.

Gonsalves H, Al-Riyami N, Al-Dughaishi T, Gowri V, Al-Azri M, Salahuddin A. Use of intracervical Foley catheter for induction of labour in cases of previous caesarean section: experience of a single tertiary Centre in Oman. Sultan Qaboos Univ Med J. 2016;16(4):e445.

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Published

2022-10-28

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Original Research Articles