Abstract
ABSTRACT Objective: To determine the efficacy and safety of trans
cervical Foley catheter for cervical ripening and induction of labor in
women with previous cesarean section Introduction: Trial of labor after
cesarean (TOLAC) is a method of achieving a successful vaginal birth in
women with a history of prior cesarean section. Foley catheter balloon
is the most commonly used mechanical device for labor induction, which
is a mechanical dilator of the cervix and also stimulates release of
endogenous prostaglandins from the fetal membranes. It is a very
successful preinduction cervical ripening agent in women with previous
caesarean section with an unfavourable cervix Method: prospective
clinical observational study conducted in the Department of Obstetrics
and Gynecology, Jawaharlal Nehru Medical College and Hospital, Aligarh
Muslim University, Aligarh during 2019-2021. A total of hundred (100)
pregnant women with previous cesarean delivery who had an unfavorable
cervix (Bishop score 6) were included in the study. The data was
analysed by statistical test using SPPS software version 25.0 Result: In
our study maximum number of women were induced for hypertensive
disorders. 58 % females had a successful vaginal delivery with minimal
maternal and neonatal morbidity. Among those who underwent repeat
cesarean section, the most common indication was fetal distress.
Conclusion: Our study showed that trans cervical Foley catheter is a
safe, effective and affordable method of cervical ripening and induction
of labor in women with previous scarred uterus with very less maternal
and neonatal morbidity. KEY WORDS Foley catheter, VBAC, TOLAC, labor
induction