Abstract
Objectives To assess effectiveness and safety of Foley catheter versus vaginal misoprostol for term induction of labor. Study DesignThis trial randomly allocated women with singleton term pregnancy to 30-mL Foley catheter or 25-g vaginal misoprostol tablets. Primary outcome was cesarean delivery rate. Secondary outcomes were maternal and neonatal morbidity and time to birth. Additionally, a systematic review was conducted. ResultsFifty-six women were allocated to Foley catheter, 64 to vaginal misoprostol tablets. Cesarean delivery rates did not differ significantly (25% Foley versus 17% misoprostol; relative risk [RR] 1.46, 95% confidence interval [CI] 0.72 to 2.94), with more cesarean deliveries due to failure to progress in the Foley group (14% versus 3%; RR 4.57, 95% CI 1.01 to 20.64). Maternal and neonatal outcomes were comparable. Time from induction to birth was longer in the Foley catheter group (36 hours versus 25 hours; p
Original language | English |
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Pages (from-to) | 145-155 |
Journal | American Journal of Perinatology |
Volume | 31 |
Issue number | 2 |
DOIs | |
Publication status | Published - Feb 2014 |
Keywords
- cervical ripening
- labor induction
- Foley catheter
- misoprostol
- prostaglandin E1
- cesarean delivery rate