Int J Gynaecol Obstet. 2021 Jul 1. doi: 10.1002/ijgo.13807. Online ahead of print.
ABSTRACT
OBJECTIVE: To introduce a new handmade device, the double Foley catheter (DFC), and compare it to the Foley catheter (FC) and Cook catheter for its effectiveness in labor induction.
METHODS: This prospective randomised controlled trial included 222 patients with unfavourable cervices. The patients were randomly allocated to the DFC, FC, and Cook catheter groups (n = 74 patients per group). The outcomes were evaluated using IBM SPSS Statistics 23 program.
RESULTS: The Bishop scores successfully increased with all three methods (p = 0.000 for all groups), and the rates of vaginal delivery within 24 h and 48 h were similar (p = 0.101 and p = 0.390, respectively). The pain scores of the DFC and Cook catheter groups were similar, but were lower than those of the FC group (p = 0.011). The overall maternal satisfaction scores of the DFC and Cook group balloons were not significantly different but were higher than those of the FC group (p = 0.014).
CONCLUSION: The maternal safety and success rate of labor induction were comparable between groups. However, the FC group had a higher pain score during catheter insertion and a lower maternal satisfaction rate. Moreover, considering the high cost of the Cook catheter, the DFC has an advantage, especially in low-resource countries.
PMID:34197641 | DOI:10.1002/ijgo.13807
