COMPARING THE EFFICACY OF 30 ML AND 60 ML FOLEY'S CATHETER BALLOON INFLATION FOR INDUCTION OF LABOR IN TERM SINGLETON MULTIGRAVIDA PATIENTS: A RANDOMIZED TRIAL

A SHAHZADI

doi:10.54112/bcsrj.v2024i1.673

Authors

A SHAHZADI Gajju khan Medical College Swabi, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2024i1.673

Keywords:

Foley's Catheter, Labour Induction, Term Singleton Multigravida, Randomised Trial

Abstract

Labour induction is a common obstetric technique, especially for term singleton multigravida patients. The Foley's catheter balloon inflation method is widely used, and the efficacy of this technique may be affected by differences in balloon capacity. Thus, this study aimed to compare the effectiveness of two balloon inflation volumes, 30 mL and 60 mL, for inducing labour in term singleton multigravida patients. This study was a prospective, randomized, parallel-group design conducted at Gajju Khan Medical College, Swabi, between September 2022 and September 2023 The study included 112-term singleton multigravida with a gestational age of 37 weeks or more, a single-fetus pregnancy, and prior pregnancies. Using computer-generated random numbers, participants were randomly assigned to Group A (30 mL) or Group B (60 mL). The results of the study showed that both groups had similar baseline characteristics. Group A had an average age of 28.5 years, while Group B had an average age of 29.2 years. Group A's mean gestational age was 39.1 weeks, while Group B's was 38.9 weeks. Patients in both groups were multiparous. The mean induction-to-delivery delay was 10.2 days for Group A and 12.8 days for Group B, with a statistically significant difference (p=0.034). After balloon inflation, Group A bishop scores improved from 4.2 to 7.8, and Group B bishop scores improved from 4.1 to 7.6 (p=0.498). The research shows that 60 mL of folleys catheter balloon inflation for cervical ripening in labour induction may shorten the induction-to-delivery period without compromising newborn outcomes.

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References

Bakhbakhi, D., Burden, C., Storey, C., and Siassakos, D. (2017). Care following stillbirth in high-resource settings: latest evidence, guidelines, and best practice points. In "Seminars in Fetal and Neonatal Medicine", Vol. 22, pp. 161-166. Elsevier.

Budden, A., Chen, L. J., and Henry, A. (2014). High‐dose versus low‐dose oxytocin infusion regimens for induction of labour at term. Cochrane Database of Systematic Reviews.

Gupta, J., Baev, O., Gomez, J. D., Garabedian, C., Hellmeyer, L., Mahony, R., Maier, J., Parizek, A., Radzinsky, V., and Jorgensen, J. S. (2022). Mechanical methods for induction of labor. Vol. 269, pp. 138-142. Elsevier.

Harrison, M. R., Anderson, J., Rosen, M. A., Ross, N. A., and Hendrickx, A. G. (1982). Fetal surgery in the primate I. Anesthetic, surgical, and tocolytic management to maximize fetal—Neontal survival. Journal of Pediatric Surgery 17, 115-122.

Levine, L. D., and Srinivas, S. K. (2020). Induction of Labor. Obstetrics: Normal and Problem Pregnancies E-Book, 225.

Malacrida, C., and Boulton, T. (2014). The best laid plans? Women’s choices, expectations and experiences in childbirth. Health: 18, 41-59.

Merrill, D. C., and Zlatnik, F. J. (1999). Randomized, double-masked comparison of oxytocin dosage in induction and augmentation of labor. Obstetrics & Gynecology 94, 455-463.

Penfield, C. A., and Wing, D. A. (2017). Labor induction techniques: which is the best? Obstetrics and Gynecology Clinics 44, 567-582.

Pierce-Williams, R., Lesser, H., Saccone, G., Harper, L., Chen, V., Sciscione, A., Kuper, S., Subramaniam, A., Ehsanipoor, R., and Berghella, V. (2022). Outpatient cervical ripening with balloon catheters: a systematic review and meta-analysis. Obstetrics & Gynecology 139, 255-268.

Prichard, N., Lindquist, A., Hiscock, R., Ruff, S., Tong, S., and Brownfoot, F. C. (2019). High-dose compared with low-dose oxytocin for induction of labour of nulliparous women at term. The Journal of Maternal-Fetal & Neonatal Medicine 32, 362-368.

Sciscione, A. C. (2014). Methods of cervical ripening and labor induction: mechanical. Clinical obstetrics and gynecology 57, 369-376.

Selin, L., Berg, M., Wennerholm, U. B., and Dencker, A. (2021). Dosage of oxytocin for augmentation of labor and women’s childbirth experiences: A randomized controlled trial. Acta Obstetricia et Gynecologica Scandinavica 100, 971-978.

Selin, L., Wennerholm, U.-B., Jonsson, M., Dencker, A., Wallin, G., Wiberg-Itzel, E., Almström, E., Petzold, M., and Berg, M. (2019). High-dose versus low-dose of oxytocin for labour augmentation: a randomised controlled trial. Women and Birth 32, 356-363.

Son, M., Roy, A., Grobman, W. A., Miller, E. S., Dude, A., Peaceman, A. M., and Stetson, B. (2023). Maximum Dose Rate of Intrapartum Oxytocin Infusion and Associated Obstetric and Perinatal Outcomes. Obstetrics & Gynecology 141, 379-386.

Tesemma, M. G., Sori, D. A., and Gemeda, D. H. (2020). High dose and low dose oxytocin regimens as determinants of successful labor induction: a multicenter comparative study. BMC pregnancy and childbirth 20, 1-8.

Waldorf, K. M. A., Singh, N., Mohan, A. R., Young, R. C., Ngo, L., Das, A., Tsai, J., Bansal, A., Paolella, L., and Herbert, B. R. (2015). Uterine overdistention induces preterm labor mediated by inflammation: observations in pregnant women and nonhuman primates. American journal of obstetrics and gynecology 213, 830. e1-830. e19.

Zhang, J., Branch, D. W., Ramirez, M. M., Laughon, S. K., Reddy, U., Hoffman, M., Bailit, J., Kominiarek, M., Chen, Z., and Hibbard, J. U. (2011). Oxytocin regimen for labor augmentation, labor progression, perinatal outcomes. Obstetrics and gynecology 118, 249.