Other mechanical methods for pre-induction cervical ripening.

Danielle Durie, Aminatu Lawal, Phillip Zegelbone

Journal: Seminars in perinatology 2016;39(6):444-9

PMID: 26341067

Full Text on Elsevier Science View on PubMed

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 commonly 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.

Address: Division of Maternal Fetal Medicine, University of South Florida Morsani College of Medicine, Tampa, FL; Department of Obestetrics and Gynecology, Lehigh Valley Health Network, Allentown, PA. Electronic address: [email protected].; Department of Obestetrics and Gynecology, Lehigh Valley Health Network, Allentown, PA.; Division of Maternal Fetal Medicine, University of South Florida Morsani College of Medicine, Tampa, FL.

DOI: 10.1053/j.semperi.2015.07.006

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MeSH Terms: Administration, Intravaginal, Adult, Catheterization, Cervical Ripening, Cervix Uteri, Dilatation, Equipment Safety, Female, Humans, Labor, Induced, Obstetric Labor Complications, Oxytocics, Patient Safety, Pregnancy, Sodium Chloride, Treatment Outcome