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Induction. Is it for you?

Induction is a clinical term for the forced onset of labor.

Is induction safe? That really depends on your idea of safe. One technique for induction, using a foley catheter inserted into the cervix then filled with sterile water, is considered to be an up and coming way to have a less painful induction with “better outcomes”. One study on this form of induction, [Cervical Foley catheter versus vaginal misoprostol for cervical ripening and induction of labor: a randomized clinical trial], has the following results:

  • RESULTS:

  • Misoprostol triggered more frequently spontaneous delivery (50.0 versus 15.0% for Foley, p<0.001) and required less use of oxytocin (41.2 versus 76.2%), and this group presented more tachysystole (21.2 versus 5.0%). The Foley catheter caused more discomfort to the patient (28.7 versus 1.2%). There were no differences in the time required for development of the Bishop score (20.69 versus 21.36 hours), for triggering delivery (36.42 versus 29.57 hours) or in rates of cesarean delivery (51.2 versus 42.5%). There were no significant differences in perinatal performance, with similar rates of abnormal cardiotocography (20.0 versus 21.2%), presence of meconium (13.7 versus 17.5%) and need for neonatal intensive care unit (3.7 versus 6.2%).”

And these results are compared to misoprostol (Cytotec), not normal labor.

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