期刊
AMERICAN JOURNAL OF OBSTETRICS & GYNECOLOGY MFM
卷 4, 期 4, 页码 -出版社
ELSEVIER
DOI: 10.1016/j.ajogmf.2022.100610
关键词
balloon; cervical ripening; Foley catheter; labor induction; tension; traction; weight
Adding traction to an intracervical Foley catheter during cervical ripening does not decrease time to delivery.
OBJECTIVE: Intracervical Foley catheter is a safe and effective method for cervical ripening. There are a variety of ways to modify this ripening method, including adding traction or tension to the catheter. The utility of this practice is uncertain. The aim of this systematic review and meta-analysis of randomized controlled trials was to investigate whether the placement of traction vs no traction on a Foley catheter during cervical ripening decreases total time from induction to delivery.& nbsp;DATA SOURCES: Electronic sources include MEDLINE, Scopus, ClinicalTrials.gov, the International Prospective Register of Systematic Reviews, SciELO, the Cochrane Central Register of Controlled Trials, and Google Scholar from inception through June 2020.& nbsp;STUDY ELIGIBILITY CRITERIA: Randomized trials comparing Foley catheter with traction (ie, intervention) vs Foley catheter without traction (ie, control) for cervical ripening were included in the meta-analysis. All types of traction were analyzed (weighted, taped to thigh) and whether the traction was placed only initially at Foley catheter placement or repeated throughout the ripening process.& nbsp;METHODS: The primary outcome was the mean time from induction to delivery in hours. Meta-analysis was performed using the random-effects model of DerSimonian and Laird to produce summary treatment effects in terms of mean difference with 95% confidence interval. Heterogeneity was measured using I-squared (Higgins I-2).& nbsp;RESULTS: Three trials including 790 singleton gestations were identified as relevant and included in the systematic review. Women randomized to traction on the Foley balloon had a similar time from induction to delivery compared with no traction (mean difference, 0.25; confidence interval,-0.78 to 1.27). No significant differences were found in the secondary outcomes. There was no difference in cesarean delivery between groups (relative risk, 0.94; 95% confidence interval, 0.74-1.19). Foley catheter expulsion was faster in the tension group (mean difference,-3.74; 95% confidence interval,-6.29 to-1.19)& nbsp;CONCLUSION: Adding traction to an intracervical Foley catheter during cervical ripening does not decrease time to delivery.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据