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Foley catheter and controlled release dinoprostone versus foley catheter labor induction in nulliparas: A randomized trial

Purpose To evaluate Foley catheter and controlled release dinoprostone insert compared to foley catheter alone on induction to delivery interval and maternal satisfaction. Methods A randomized trial was conducted in a university hospital in Malaysia from December 2018 to May 2019. Term nulliparas wi...

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Main Authors:	Narayanan, Vallikkannu, Laboh, Naumi, Tan, Peng Chiong, Hong, Jesrine Gek Shan, Hamdan, Mukhri, Lim, Boon Kiong
Format:	Article
Published:	Springer Verlag (Germany) 2022
Subjects:	RG Gynecology and obstetrics
Online Access:	http://eprints.um.edu.my/41481/
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spelling	my.um.eprints.414812023-11-27T03:49:00Z http://eprints.um.edu.my/41481/ Foley catheter and controlled release dinoprostone versus foley catheter labor induction in nulliparas: A randomized trial Narayanan, Vallikkannu Laboh, Naumi Tan, Peng Chiong Hong, Jesrine Gek Shan Hamdan, Mukhri Lim, Boon Kiong RG Gynecology and obstetrics Purpose To evaluate Foley catheter and controlled release dinoprostone insert compared to foley catheter alone on induction to delivery interval and maternal satisfaction. Methods A randomized trial was conducted in a university hospital in Malaysia from December 2018 to May 2019. Term nulliparas with unfavorable cervix (Bishop score <= 5) scheduled for labor induction were randomized to Foley catheter and controlled release dinoprostone insert simultaneously or Foley catheter alone. Primary outcomes were induction to delivery interval (hours) and maternal satisfaction on birth experience (assessed by 11-point Visual Numerical Rating Scale VNRS 0-10, higher score more satisfied). Results Induction to vaginal delivery intervals was mean +/- standard deviation 22.5 +/- 10.4 vs. 35.1 +/- 14.9 h, P = < 0.001 but maternal satisfaction on birth experience was not significantly different medianinterquartile range] VNRS 87-9] vs. 87-9], P = 0.12 for Foley catheter-controlled-release dinoprostone and Foley catheter alone arms, respectively. Cesarean delivery rates were 35/102(34.3%) vs. 50/101(49.5%), P = 0.02 RR 0.7 95% CI 0.5-0.9 NNTb 6.3 95% CI 3.5-39.4, pain score at 6 h after catheter insertion 52-8] vs. 11-3], P < 0.001, Bishop score at trial devices removal 99-10] vs. 87-9], P = 0.001, requirement for oxytocin induction or augmentation 39/102(38.2%) vs. 76/101(75.2%) NNTb 3 95% CI 2.0-4.1, P < 0.001 and amniotomy rates 73/99(73.7%) vs. 81/95(85.3%), P = 0.052 RR 0.9 85% CI 0.8-1.0 in Foley catheter-controlled-release dinoprostone and Foley catheter alone arms respectively. Conclusion In nulliparas with unripe cervixes at term, combined Foley catheter and controlled release dinoprostone vaginal insert compared to Foley catheter alone reduces the induction to vaginal delivery interval and cesarean delivery rate but satisfaction was not significantly increased. Springer Verlag (Germany) 2022-10 Article PeerReviewed Narayanan, Vallikkannu and Laboh, Naumi and Tan, Peng Chiong and Hong, Jesrine Gek Shan and Hamdan, Mukhri and Lim, Boon Kiong (2022) Foley catheter and controlled release dinoprostone versus foley catheter labor induction in nulliparas: A randomized trial. Archives of Gynecology and Obstetrics, 306 (4). pp. 1027-1036. ISSN 0932-0067, DOI https://doi.org/10.1007/s00404-021-06383-2 <https://doi.org/10.1007/s00404-021-06383-2>. 10.1007/s00404-021-06383-2
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 Narayanan, Vallikkannu Laboh, Naumi Tan, Peng Chiong Hong, Jesrine Gek Shan Hamdan, Mukhri Lim, Boon Kiong Foley catheter and controlled release dinoprostone versus foley catheter labor induction in nulliparas: A randomized trial
description	Purpose To evaluate Foley catheter and controlled release dinoprostone insert compared to foley catheter alone on induction to delivery interval and maternal satisfaction. Methods A randomized trial was conducted in a university hospital in Malaysia from December 2018 to May 2019. Term nulliparas with unfavorable cervix (Bishop score <= 5) scheduled for labor induction were randomized to Foley catheter and controlled release dinoprostone insert simultaneously or Foley catheter alone. Primary outcomes were induction to delivery interval (hours) and maternal satisfaction on birth experience (assessed by 11-point Visual Numerical Rating Scale VNRS 0-10, higher score more satisfied). Results Induction to vaginal delivery intervals was mean +/- standard deviation 22.5 +/- 10.4 vs. 35.1 +/- 14.9 h, P = < 0.001 but maternal satisfaction on birth experience was not significantly different medianinterquartile range] VNRS 87-9] vs. 87-9], P = 0.12 for Foley catheter-controlled-release dinoprostone and Foley catheter alone arms, respectively. Cesarean delivery rates were 35/102(34.3%) vs. 50/101(49.5%), P = 0.02 RR 0.7 95% CI 0.5-0.9 NNTb 6.3 95% CI 3.5-39.4, pain score at 6 h after catheter insertion 52-8] vs. 11-3], P < 0.001, Bishop score at trial devices removal 99-10] vs. 87-9], P = 0.001, requirement for oxytocin induction or augmentation 39/102(38.2%) vs. 76/101(75.2%) NNTb 3 95% CI 2.0-4.1, P < 0.001 and amniotomy rates 73/99(73.7%) vs. 81/95(85.3%), P = 0.052 RR 0.9 85% CI 0.8-1.0 in Foley catheter-controlled-release dinoprostone and Foley catheter alone arms respectively. Conclusion In nulliparas with unripe cervixes at term, combined Foley catheter and controlled release dinoprostone vaginal insert compared to Foley catheter alone reduces the induction to vaginal delivery interval and cesarean delivery rate but satisfaction was not significantly increased.
format	Article
author	Narayanan, Vallikkannu Laboh, Naumi Tan, Peng Chiong Hong, Jesrine Gek Shan Hamdan, Mukhri Lim, Boon Kiong
author_facet	Narayanan, Vallikkannu Laboh, Naumi Tan, Peng Chiong Hong, Jesrine Gek Shan Hamdan, Mukhri Lim, Boon Kiong
author_sort	Narayanan, Vallikkannu
title	Foley catheter and controlled release dinoprostone versus foley catheter labor induction in nulliparas: A randomized trial
title_short	Foley catheter and controlled release dinoprostone versus foley catheter labor induction in nulliparas: A randomized trial
title_full	Foley catheter and controlled release dinoprostone versus foley catheter labor induction in nulliparas: A randomized trial
title_fullStr	Foley catheter and controlled release dinoprostone versus foley catheter labor induction in nulliparas: A randomized trial
title_full_unstemmed	Foley catheter and controlled release dinoprostone versus foley catheter labor induction in nulliparas: A randomized trial
title_sort	foley catheter and controlled release dinoprostone versus foley catheter labor induction in nulliparas: a randomized trial
publisher	Springer Verlag (Germany)
publishDate	2022
url	http://eprints.um.edu.my/41481/
_version_	1783876716632997888
score	13.211869

Foley catheter and controlled release dinoprostone versus foley catheter labor induction in nulliparas: A randomized trial

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