2019, Number 01
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Ginecol Obstet Mex 2019; 87 (01)
Efficacy and safety of the use of transcervical Foley catheter plus oxytocin vs oxytocin only in the induction of labor in patients with previous caesarean section
Guerrero-Patiño NR, Aguilera-Cervantes SM, González-Aldeco PM, Rodríguez-Ayala C
Language: Spanish
References: 24
Page: 26-35
PDF size: 449.53 Kb.
ABSTRACT
Objective: To evaluate whether the combination of transcervical Foley catheter
with intravenous oxytocin as a method for induction of labor in patients with previous
caesarean section is more effective than using only intravenous oxytocin in achieving
an active phase of labor and therefore increasing the frequency of vaginal delivery.
Materials and Methods: Case-control study performed at the Nuevo Sanatorio
Durango Hospital Center from March 1, 2017 to March 31, 2018. Case-control study
carried out at the New Sanatorio Durango Hospital Center from March 1, 2017 to
March 31, 2018. Inclusion criteria: gestational age greater than or equal to 37 weeks,
previous caesarean section with low transverse incision (Kerr), pregnancy unique, fetus
in cephalic presentation. Two groups were created: group A, induction of labor with
intravenous oxytocin and group B induction with transcervical foley plus oxytocin. The
categorical variables are described with percentages and percentages, and the numerical
variables with means ± standard deviation or median. The Kolmogorov-Smirnov test and
Student's t test were used; A value of p ‹0.05 was considered statistically significant.
Results: Patients were studied, in group A of 25 patients, 16/25 achieved an active
phase of labor and 14/25 had vaginal resolution; group B of 25 patients, 25/25 reached
the active phase and 17/25 had vaginal resolution, we obtained a value of p › 0.05
(95%CI: 0.16-0.4). The time in labor hours: group A with an average of 17.11 hours
and in group B of 12.44, p value ‹ 0.05 (95%CI: 2.4-6.2 and 2.4-6.3).
Conclusions: The combination of transcervical Foley catheter with oxytocin proved
to be highly effective and safe for the induction of labor in patients with a previous
caesarean section, significantly reducing labor time and increasing the frequency of
patients who achieve an active dose of labor.
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