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Digital insertion of Foley catheter 16F versus 22F versus 28F in unripe cervix labor induction: A randomized trial

Aim To explore digital insertion in dorsal recumbent position of 16F, 22F, or 28F catheter bores on insertion failure, duration, and pain in unripe cervix labor induction. Methods A randomized trial was performed in a University hospital in Malaysia. Term women scheduled for labor induction, Bishop...

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Main Authors: Lim, Boon K., Zakaria, Rohaida, Hong, Jesrine G. S., Omar, Siti Z., Sulaiman, Sofiah, Tan, Peng C.
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Published: Wiley 2022
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RG Gynecology and obstetrics
Online Access:http://eprints.um.edu.my/33462/
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spelling my.um.eprints.334622022-08-01T04:54:50Z http://eprints.um.edu.my/33462/ Digital insertion of Foley catheter 16F versus 22F versus 28F in unripe cervix labor induction: A randomized trial Lim, Boon K. Zakaria, Rohaida Hong, Jesrine G. S. Omar, Siti Z. Sulaiman, Sofiah Tan, Peng C. RG Gynecology and obstetrics Aim To explore digital insertion in dorsal recumbent position of 16F, 22F, or 28F catheter bores on insertion failure, duration, and pain in unripe cervix labor induction. Methods A randomized trial was performed in a University hospital in Malaysia. Term women scheduled for labor induction, Bishop score <= 5, singleton, cephalic presentation, intact membrane, and reassuring pre-induction fetal heart rate tracing were recruited. Women with known gross fetal anomaly, allergy to latex and inability to consent or language difficulty were excluded. Participants were randomized to 16F, 22F, or 28F Foley catheter. Primary outcome was insertion failure and main secondary outcomes were insertion duration and pain (assessed by a Visual Numerical Rating Scale VNRS] 0-10, higher score more pain). Analysis is done by analysis of variance (ANOVA), Kruskal-Wallis, and chi square test across the three arms and by t test and Mann-Whitney U test for pair wise comparisons. Results One hundred twenty-seven participants' data were analyzed. The insertion failure 7/43(16%) versus 4/42(10%) versus 5/42(12%), p = 0.64, insertion duration median IQR] 2.8 1.8-4.8] versus 2.8 1.7-3.7] versus 2.8 1.7-4.3] min, p = 0.68 and insertion pain VNRS mean {SD} 4.2 {2.5} versus 3.4 {2.3} versus 3.6 {2.2}, p = 0.26, insertion to delivery interval 26.0 {9.7} versus 25.6 {9.1} versus 22.8 {7.4} h, p = 0.45, and spontaneous vaginal delivery 20/43 (45%) versus 23/42(55%) versus 25/42(60%), p = 0.48 for 16F versus 22F versus 28F arms, respectively. Pairwise comparisons were not different. Conclusion Foley catheter 16F versus 22F versus 28F resulted in similar digital insertion performance in the dorsal recumbent position for unripe cervix labor induction. Clinical Trial Registration: . Wiley 2022-03 Article PeerReviewed Lim, Boon K. and Zakaria, Rohaida and Hong, Jesrine G. S. and Omar, Siti Z. and Sulaiman, Sofiah and Tan, Peng C. (2022) Digital insertion of Foley catheter 16F versus 22F versus 28F in unripe cervix labor induction: A randomized trial. Journal of Obstetrics and Gynaecology Research, 48 (3). pp. 694-702. ISSN 1341-8076, DOI https://doi.org/10.1111/jog.15157 <https://doi.org/10.1111/jog.15157>. 10.1111/jog.15157
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic RG Gynecology and obstetrics
spellingShingle RG Gynecology and obstetrics
Lim, Boon K.
Zakaria, Rohaida
Hong, Jesrine G. S.
Omar, Siti Z.
Sulaiman, Sofiah
Tan, Peng C.
Digital insertion of Foley catheter 16F versus 22F versus 28F in unripe cervix labor induction: A randomized trial
description Aim To explore digital insertion in dorsal recumbent position of 16F, 22F, or 28F catheter bores on insertion failure, duration, and pain in unripe cervix labor induction. Methods A randomized trial was performed in a University hospital in Malaysia. Term women scheduled for labor induction, Bishop score <= 5, singleton, cephalic presentation, intact membrane, and reassuring pre-induction fetal heart rate tracing were recruited. Women with known gross fetal anomaly, allergy to latex and inability to consent or language difficulty were excluded. Participants were randomized to 16F, 22F, or 28F Foley catheter. Primary outcome was insertion failure and main secondary outcomes were insertion duration and pain (assessed by a Visual Numerical Rating Scale VNRS] 0-10, higher score more pain). Analysis is done by analysis of variance (ANOVA), Kruskal-Wallis, and chi square test across the three arms and by t test and Mann-Whitney U test for pair wise comparisons. Results One hundred twenty-seven participants' data were analyzed. The insertion failure 7/43(16%) versus 4/42(10%) versus 5/42(12%), p = 0.64, insertion duration median IQR] 2.8 1.8-4.8] versus 2.8 1.7-3.7] versus 2.8 1.7-4.3] min, p = 0.68 and insertion pain VNRS mean {SD} 4.2 {2.5} versus 3.4 {2.3} versus 3.6 {2.2}, p = 0.26, insertion to delivery interval 26.0 {9.7} versus 25.6 {9.1} versus 22.8 {7.4} h, p = 0.45, and spontaneous vaginal delivery 20/43 (45%) versus 23/42(55%) versus 25/42(60%), p = 0.48 for 16F versus 22F versus 28F arms, respectively. Pairwise comparisons were not different. Conclusion Foley catheter 16F versus 22F versus 28F resulted in similar digital insertion performance in the dorsal recumbent position for unripe cervix labor induction. Clinical Trial Registration: .
format Article
author Lim, Boon K.
Zakaria, Rohaida
Hong, Jesrine G. S.
Omar, Siti Z.
Sulaiman, Sofiah
Tan, Peng C.
author_facet Lim, Boon K.
Zakaria, Rohaida
Hong, Jesrine G. S.
Omar, Siti Z.
Sulaiman, Sofiah
Tan, Peng C.
author_sort Lim, Boon K.
title Digital insertion of Foley catheter 16F versus 22F versus 28F in unripe cervix labor induction: A randomized trial
title_short Digital insertion of Foley catheter 16F versus 22F versus 28F in unripe cervix labor induction: A randomized trial
title_full Digital insertion of Foley catheter 16F versus 22F versus 28F in unripe cervix labor induction: A randomized trial
title_fullStr Digital insertion of Foley catheter 16F versus 22F versus 28F in unripe cervix labor induction: A randomized trial
title_full_unstemmed Digital insertion of Foley catheter 16F versus 22F versus 28F in unripe cervix labor induction: A randomized trial
title_sort digital insertion of foley catheter 16f versus 22f versus 28f in unripe cervix labor induction: a randomized trial
publisher Wiley
publishDate 2022
url http://eprints.um.edu.my/33462/
_version_ 1740826032282271744
score 13.211869

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