Other mechanical methods for pre-induction cervical ripening

Abstract Pre-induction cervical ripening is an important part of the labor induction process in women with an unfavorable cervix. This can be achieved either by pharmacologic or mechanical methods of cervical ripening. While the Foley catheter is the most commomly used mechanical method for labor in...

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Bibliographic Details
Published in:Seminars in perinatology 2015-10, Vol.39 (6), p.444-449
Main Authors: Durie, Danielle, MD, MPH, Lawal, Aminatu, MD, Zegelbone, Phillip, BA
Format: Article
Language:English
Subjects:
Administration, Intravaginal
Adult
Catheterization - instrumentation
Catheterization - methods
Cervical Ripening - drug effects
Cervix Uteri
Dilatation - instrumentation
Dilatation - methods
Double balloon catheter
Equipment Safety
Extra- amniotic saline infusion
Female
Humans
Labor, Induced - instrumentation
Labor, Induced - methods
Mechanical cervical ripening
Neonatal and Perinatal Medicine
Obstetric Labor Complications - therapy
Osmotic dilators
Oxytocics - administration & dosage
Patient Safety
Pregnancy
Sodium Chloride - administration & dosage
Treatment Outcome
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Summary:Abstract Pre-induction cervical ripening is an important part of the labor induction process in women with an unfavorable cervix. This can be achieved either by pharmacologic or mechanical methods of cervical ripening. While the Foley catheter is the most commomly used mechanical method for labor induction, other mechanical methods are also available. This article reviews the safety profiles of osmotic dilators, extra-amniotic saline infusion, double-balloon catheters, and also compares their efficacy to that of other mechanical and pharmacologic cervical ripening methods. While mechanical methods have been shown to be safe and effective for cervical ripening, none of these alternatives has been shown to be superior to the Foley catheter.
ISSN:0146-0005
1558-075X
DOI:10.1053/j.semperi.2015.07.006