Preparation for induction of labour of the unfavourable cervix with Foley catheter compared with vaginal prostaglandin.

摘要: EDITORIAL COMMENT: It is salutary to note that many workers now advocate mechanical methods of cervical dilatation condemned in the past for very good reasons (maternal infection, trauma). also noteworthy this paper reports impressive results Foley catheter with traction (spontaneous vaginal delivery 66%, Caesarean section rate 22%) patients an unfavourable cervix who required induction labour (see Arulkumanan et al Aust. NZJ Obstet. Gynaecal. 1985; 25: 190–193). Summary: Ripening prior using on a (32 patients) was compared 40 mg prostaglandin F2α Tylose gel applied external os and held place 12 hours diaphragm (25 patients). Each patient above groups had modified Bishop score 0–3 randomly allocated one or other group. Comparison made further 25 whom 4–6. Timing amniotomy commencement Syntocinon infusion were equivalent all patients. Prostaglandins conferred no advantage over terms am-niotomy-delivery interval, operative rate, condition baby minute after birth. The disadvantages prostaglandins ripening are longer preparation-delivery cost ($77 versus $4.75 catheter). Currently, not officially approved use Australia labour. suggested, therefore, preferable as prelude amniotomy.