Cervical Ripening With Transcervical Foley Catheter and the Risk of Uterine Rupture
- 1 January 2004
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Obstetrics & Gynecology
- Vol. 103 (1), 18-23
- https://doi.org/10.1097/01.aog.0000109148.23082.c1
Abstract
OBJECTIVE: To estimate whether the rate of uterine rupture in patients with a previous cesarean delivery is related to labor induction and/or cervical ripening using transcervical Foley catheter. METHODS: Charts of all patients who had a trial of labor after a previous cesarean delivery in our institution between 1988 and 2002 were reviewed. The rates of successful vaginal birth after cesarean delivery and uterine rupture in patients with spontaneous labor (control group) were compared with those of patients who underwent a labor induction by means of amniotomy with or without oxytocin and patients who underwent a labor induction/cervical ripening using a transcervical Foley catheter. Logistic regression analysis was performed to adjust for confounding variables. RESULTS: Of 2479 patients, 1807 had a spontaneous labor, 417 had labor induced by amniotomy with or without oxytocin, and 255 had labor induced by using transcervical Foley catheter. The rate of successful vaginal birth after cesarean delivery was significantly different among the groups (78.0% versus 77.9% versus 55.7%, P < .001), but not the rate of uterine rupture (1.1% versus 1.2% versus 1.6%, P = .81). After adjusting for confounding variables, the odds ratio (OR) for successful vaginal birth after cesarean delivery was 0.68 (95% confidence interval [CI] 0.41, 1.15), and the OR for uterine rupture was 0.47 (95% CI 0.06, 3.59) in patients who underwent an induction of labor using a transcervical Foley catheter when compared with patients with spontaneous labor. CONCLUSION: Labor induction using a transcervical Foley catheter was not associated with an increased risk of uterine rupture. LEVEL OF EVIDENCE: II-2Keywords
This publication has 18 references indexed in Scilit:
- Interdelivery interval and uterine ruptureAmerican Journal of Obstetrics and Gynecology, 2002
- The impact of a single-layer or double-layer closure on uterine ruptureAmerican Journal of Obstetrics and Gynecology, 2002
- The association of maternal age and symptomatic uterine rupture during a trial of labor after prior cesarean deliveryObstetrics & Gynecology, 2002
- Neonatal morbidity associated with uterine rupture: What are the risk factors?American Journal of Obstetrics and Gynecology, 2002
- Ripening of the uterine cervix in a post-Cesarean parturient: prostaglandin E2versus Foley catheterThe Journal of Maternal-Fetal & Neonatal Medicine, 2002
- Risk of Uterine Rupture during Labor among Women with a Prior Cesarean DeliveryThe New England Journal of Medicine, 2001
- Uterine rupture during induced trial of labor among women with previous cesarean deliveryAmerican Journal of Obstetrics and Gynecology, 2000
- Randomized controlled trial of a prenatal vaginal birth after cesarean section education and support programAmerican Journal of Obstetrics and Gynecology, 1997
- Comparison of a Trial of Labor with an Elective Second Cesarean SectionThe New England Journal of Medicine, 1996
- Labor After Prior Cesarean SectionClinical Obstetrics and Gynecology, 1992