Foley Bulb Catheter for Induction Following PROM in Nulliparas
BACKGROUND AND PURPOSE:
Following premature rupture of membranes (PROM), oxytocin is often used as an effective medication to induce labor and reduce time to delivery. This study by Amorosa et al. (AJOG, 2017) sought to determine if using a Foley bulb, in addition to oxytocin, decreases delivery time following PROM.
Randomized Controlled Trial (RCT)
128 women with PROM at ≥34 weeks’ gestation were randomized to receive Foley bulb and oxytocin, or just oxytocin
There was no statistically significant difference in induction-to-delivery time between the women who were induced with Foley bulb and oxytocin vs. women who only received oxytocin
There were no statistically significant differences in mode of delivery, rate of postpartum hemorrhage, epidural use, or chorioamnionitis, tachysystole or total oxytocin dose
Neonatal outcomes: There were no statistically significant differences in birth weights, Apgar scores, cord gases, or NICU admissions
Addition of a Foley bulb to oxytocin for induction does not decrease time to delivery nor improve other peripartum or newborn outcomes in nulliparous patients with PROM
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This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications.
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presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.
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