title: Cervical ripening with Foley catheter for induction of labor after cesarean section: a cohort study.
abstract: OBJECTIVE
  To evaluate spontaneous vaginal delivery and complication rates after induction of labor with a transcervical Foley catheter in women with a previous cesarean delivery.
  
  
  METHODS
  Retrospective cohort study.
  
  
  METHODS
  Secondary teaching hospital in the second largest city of the Netherlands.
  
  
  METHODS
  Women with a history of cesarean delivery (n = 208), undergoing induction of labor with a Foley catheter in a subsequent pregnancy.
  
  
  METHODS
  The women who had induction of labor with a transcervical Foley catheter in the Ikazia Hospital, Rotterdam, between January 2003 and January 2012, were identified in a computerized database. Patient's records were checked for accuracy.
  
  
  METHODS
  Vaginal delivery rate, cesarean section rate, uterine rupture and maternal and neonatal (infectious) morbidity.
  
  
  RESULTS
  Of the women 60% had a spontaneous vaginal delivery and 11% were delivered by vacuum extraction. Uterine rupture occurred in one woman. Postpartum hemorrhage was the most common maternal complication (12%). Maternal intrapartum and postpartum infections occurred in 5% and 1%. Proven neonatal infection was found in 3% of the cases. Two perinatal deaths occurred (1%), of which one was related to uterine rupture.
  
  
  CONCLUSIONS
  Induction of labor with a transcervical Foley catheter is an effective method to achieve vaginal delivery in women with a previous cesarean delivery. There is a low risk of uterine rupture and maternal and neonatal (infectious) morbidity in this cohort.
authors.affiliation: Department of Obstetrics and Gynecology, Ikazia Hospital, Rotterdam, the Netherlands.
authors.forename: Marta
authors.initials: M
authors.lastname: Jozwiak
authors.forename: Hilde A
authors.initials: HA
authors.lastname: van de Lest
authors.forename: Nicole B
authors.initials: NB
authors.lastname: Burger
authors.forename: Marja G K
authors.initials: MG
authors.lastname: Dijksterhuis
authors.forename: Jan Willem
authors.initials: JW
authors.lastname: De Leeuw
mesh_terms: D055499:Catheter-Related Infections; D020070:Cervical Ripening / Q000502:physiology*; D015331:Cohort Studies; D003428:Cross Infection; D005260:Female; D006801:Humans; D007751:Labor, Induced / Q000009:adverse effects / Q000379:methods*; D016015:Logistic Models; D009426:Netherlands; D007744:Obstetric Labor Complications; D011247:Pregnancy; D012189:Retrospective Studies; D012306:Risk; D014546:Urinary Catheterization / Q000379:methods* / Q000706:statistics & numerical data; D014597:Uterine Rupture / Q000209:etiology; D016064:Vaginal Birth after Cesarean / Q000379:methods* / Q000706:statistics & numerical data
keywords: Foley catheter; Vaginal birth after cesarean (VBAC); cesarean section; induction of labor; uterine rupture