Avances en Biomedicina (Dec 2016)

Sonda de foley transcervical o misoprostol vaginal para la inducción del parto en embarazos a término: un estudio al azar

  • María Rosado Tovar,
  • Eduardo Reyna Villasmil,
  • Joel Santos Bolívar,
  • Jorly Mejia Montilla,
  • Nadia Reyna Villasmil,
  • Andreina Fernández Ramírez

Journal volume & issue
Vol. 5, no. 3
pp. 129 – 137

Abstract

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Abstract (english) The objective of research was to compare the effectiveness of transcervical Foley catheter with vaginal misoprostol for labor induction in term pregnancies. Patients undergoing cervical ripening and induction of labor were selected and randomly assigned to be treated with transcervical Foley catheter (Foley group) or vaginal misoprostol (misoprsotol group) who attended to cervical maturation and labor induction at Hospital Central “Dr. Urquinaona”, Maracaibo, Venezuela. Interval between beginning of induction to delivery, vaginal birth rate, maternal complications perinatal variables and adverse effects were evaluated. Patients of Foley group showed a longer interval between beginning of induction to delivery compared with patients in misoprostol group (p < 0.05). There was no significant difference in vaginal birth rate between groups (p = ns). Newborns in Foley group had significantly higher mean value of Apgar scores at 1 minute and 5 minutes compared with those in misoprostol group (p < 0.05). The most common adverse effect in both groups was nausea, but there were no significant differences between groups in frequency of adverse effects (p = ns). It is concluded that use of transcervical Foley catheter is as effective as vaginal misoprostol for induction of labor in term pregnancy.

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