Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 May 31;24(1):401.
doi: 10.1186/s12884-024-06600-1.

Effect of cervical Bishop score on induction of labor at term in primiparas using Foley catheter balloon: a retrospective study

Shu-Fen Li  1 , Hui-Hui Ju  1 , Chuan-Shou Feng  2
Affiliations

Effect of cervical Bishop score on induction of labor at term in primiparas using Foley catheter balloon: a retrospective study

Shu-Fen Li et al. BMC Pregnancy Childbirth. .

Abstract

Background: Previous studies had found that the mechanical methods were as effective as pharmacological methods in achieving vaginal delivery. However, whether balloon catheter induction is suitable for women with severe cervical immaturity and whether it will increase the related risks still need to be further explored.

Research aim: To evaluate the efficacy and safety of Foley catheter balloon for labor induction at term in primiparas with different cervical scores.

Methods: A total of 688 primiparas who received cervical ripening with a Foley catheter balloon were recruited in this study. They were divided into 2 groups: Group 1 (Bishop score ≤ 3) and Group 2 (3 < Bishop score < 7). Detailed medical data before and after using of balloon were faithfully recorded.

Results: The cervical Bishop scores of the two groups after catheter placement were all significantly higher than those before (Group 1: 5.49 ± 1.31 VS 2.83 ± 0.39, P<0.05; Group 2: 6.09 ± 1.00 VS 4.45 ± 0.59, P<0.05). The success rate of labor induction in group 2 was higher than that in group 1 (P<0.05). The incidence of intrauterine infection in Group 1 was higher than that in Group 2 (18.3% VS 11.3%, P<0.05).

Conclusion: The success rates of induction of labor by Foley catheter balloon were different in primiparas with different cervical conditions, the failure rate of induction of labor and the incidence of intrauterine infection were higher in primiparas with severe cervical immaturity.

Keywords: Bishop score; Cervical ripening; Foley catheter balloon; Induction of labor; Intrauterine infection.

PubMed Disclaimer

Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
The trial profile
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Sociedad Española de Ginecología y Obstetricia Protocolo SEGO. De Induccion Del parto (updated July 2013) Prog Obstet Ginecol. 2015;58:54–64. doi: 10.1016/j.pog.2014.11.002. - DOI
    1. Mozurkewich EL, Chilimigras JL, Berman DR, Perni UC, Romero VC, King VJ, et al. Methods of induction of labour: a systematic review. BMC Pregnancy Childbirth. 2011;11:84. doi: 10.1186/1471-2393-11-84. - DOI - PMC - PubMed
    1. Jozwiak M, Bloemenkamp KW, Kelly AJ et al. Mechanical methods for induction of labour. Cochrane Database Syst Rev. 2012;14(3). - PubMed
    1. Thomas J, Fairclough A, Kavanagh J et al. Vaginal prostaglandin (PGE2 and PGF2a) for induction of labour at term. Cochrane Database Syst Rev. 2014;19(6). - PMC - PubMed
    1. Alfirevic Z, Kelly AJ, Dowswell T. Intravenous oxytocin alone for cervical ripening and induction of labour. Cochrane Database Syst Rev. 2009;7(4). - PMC - PubMed

LinkOut - more resources