ArticleCureus2025
Effectiveness of Intracervical Foley Catheter for Induction of Labor in Women With Singleton Term Pregnancy and Previous Lower Segment Cesarean Section: A Pilot Study.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
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5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
INTRODUCTION AND
aimCurrent clinical practice advocates and supports a trial of labor after one previous lower segment cesarean section (LSCS) if the pregnant woman wishes to have a vaginal delivery. Induction of labor with pharmacological agents can pose a risk of uterine rupture in women with previous LSCS. Induction with mechanical methods is a safe alternative. However, the data regarding its effectiveness is limited. The present study aimed to assess the effectiveness of intracervical Foley catheter for induction of labor in women with singleton term pregnancy and one previous LSCS. MATERIALS AND
methodsThis was a cross-sectional retrospective pilot study conducted at the Department of Obstetrics and Gynecology, Nizwa Hospital, Ministry of Health, in Nizwa, Oman. The data of women who fulfilled the eligibility criteria was collected from the hospital's electronic medical records system "Al-Shifa" from October 1, 2023, to March 31, 2024. The change in modified Bishop score, oxytocin requirement, induction delivery interval, mode of delivery, maternal complications, and neonatal outcome were observed. Data analysis was done using the R software (R Foundation for Statistical Computing, Vienna, Austria (https://www.R-project.org/)).
resultsOut of the 64 women who underwent induction of labor, 42 (65.62%) had a vaginal birth after cesarean section (VBAC). There was a statistically significant improvement in the modified Bishop score (p<0.0001) after induction of labor. The VBAC success rate was 84.6% among those with previous VBAC as compared to 52.6% for those without previous VBAC. No significant maternal or fetal complications were observed.
conclusionInduction of labor with intracervical Foley catheter serves as an effective method for improving the modified Bishop score in women with previous LSCS and thus increases the chance of a successful VBAC.
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