66992
document
Transcervical Foley 's catheter versus Cook balloon for cervical ripening in stillbirth with a scarred uterus : a randomized controlled trial . OBJECTIVE To compare the efficacy and safety of the use of transcervical Foley 's catheter versus Cook cervical ripening balloon in pregnant women with stillbirth , unfavorable cervix and scarred uterus . DESIGN Randomized controlled study . SETTING El Minia University Hospital , El Minia , Egypt . PATIENTS AND METHODS Two-hundred pregnant women with stillbirth , unfavorable cervix and scarred uterus were recruited into this study . They were randomized into two groups . In group I ( n = 100 ) , cervical ripening was done using Foley 's catheter . In group II ( n = 100 ) , cervical ripening was done using Cook cervical ripening balloon . MAIN OUTCOME MEASURES Balloon insertion to delivery interval , successful ripening rate , cesarean delivery rate , maternal adverse events and maternal satisfaction . RESULTS Time from balloon insertion to expulsion and from balloon insertion to delivery was significantly shorter in Foley 's catheter group . However , the difference between the two groups regarding time from balloon insertion to active labor , time from balloon expulsion to delivery , cervical ripening , cesarean section , instrumental delivery , pain score , need for analgesia , hospital stay and maternal satisfaction was not statistically significant . CONCLUSIONS Foley 's catheter and Cook cervical ripening balloon are comparable regarding efficacy and safety profile when used to ripen the cervix in pregnant women with stillbirth , unfavorable cervix and scarred uterus . However , Foley 's catheter has a shorter induction to delivery interval and is relatively cheaper device .
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Intervention_Physical
Transcervical Foley 's catheter
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Intervention_Physical
Cook balloon
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Intervention_Physical
transcervical Foley 's catheter
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Intervention_Physical
Cook cervical ripening balloon
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Intervention_Physical
Foley 's catheter
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Intervention_Physical
Cook cervical ripening balloon
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Intervention_Physical
Foley 's catheter
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Intervention_Physical
Cook cervical
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Outcome_Other
efficacy and safety
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Outcome_Other
Balloon insertion to delivery interval
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Outcome_Other
successful ripening rate
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Outcome_Other
cesarean delivery rate
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Outcome_Adverse-effects
maternal adverse events
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Outcome_Other
maternal satisfaction
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Outcome_Other
Time from balloon insertion to expulsion
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Outcome_Other
balloon insertion to delivery
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Outcome_Other
time from balloon insertion to active labor
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Outcome_Other
time from balloon expulsion to delivery
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Outcome_Other
cervical ripening
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Outcome_Other
cesarean section
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Outcome_Other
instrumental delivery
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Outcome_Pain
pain score
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Outcome_Pain
need for analgesia
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Outcome_Other
hospital stay
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Outcome_Other
maternal satisfaction
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Outcome_Other
efficacy and safety profile
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Outcome_Physical
induction to delivery interval
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Participant_Condition
cervical ripening in stillbirth with a scarred uterus :
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Participant_Condition
pregnant
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Participant_Sex
women
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Participant_Condition
cervix and scarred uterus
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Participant_Sample-size
Two-hundred
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Participant_Condition
pregnant
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Participant_Sex
women
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Participant_Condition
with stillbirth , unfavorable cervix and scarred uterus