title: Transcervical Foley's catheter versus Cook balloon for cervical ripening in stillbirth with a scarred uterus: a randomized controlled trial.
abstract: OBJECTIVE
  To compare the efficacy and safety of the use of transcervical Foley's catheter versus Cook cervical ripening balloon in pregnant women with stillbirth, unfavorable cervix and scarred uterus.
  
  
  METHODS
  Randomized controlled study.
  
  
  METHODS
  El Minia University Hospital, El Minia, Egypt.
  
  
  METHODS
  Two-hundred pregnant women with stillbirth, unfavorable cervix and scarred uterus were recruited into this study. They were randomized into two groups. In group I (n = 100), cervical ripening was done using Foley's catheter. In group II (n = 100), cervical ripening was done using Cook cervical ripening balloon.
  
  
  METHODS
  Balloon insertion to delivery interval, successful ripening rate, cesarean delivery rate, maternal adverse events and maternal satisfaction.
  
  
  RESULTS
  Time from balloon insertion to expulsion and from balloon insertion to delivery was significantly shorter in Foley's catheter group. However, the difference between the two groups regarding time from balloon insertion to active labor, time from balloon expulsion to delivery, cervical ripening, cesarean section, instrumental delivery, pain score, need for analgesia, hospital stay and maternal satisfaction was not statistically significant.
  
  
  CONCLUSIONS
  Foley's catheter and Cook cervical ripening balloon are comparable regarding efficacy and safety profile when used to ripen the cervix in pregnant women with stillbirth, unfavorable cervix and scarred uterus. However, Foley's catheter has a shorter induction to delivery interval and is relatively cheaper device.
authors.affiliation: a Department of Obstetrics & Gynecology, Faculty of Medicine , El Minia University , El Minia , Egypt.
authors.forename: Mohammed T Gadel
authors.initials: MT
authors.lastname: Rab
authors.forename: Abdel Baset F
authors.initials: AB
authors.lastname: Mohammed
authors.forename: Khalid A
authors.initials: KA
authors.lastname: Zahran
authors.forename: Mo'men M
authors.initials: MM
authors.lastname: Hassan
authors.forename: Abdel Razek M
authors.initials: AR
authors.lastname: Eldeen
authors.forename: Emad M
authors.initials: EM
authors.lastname: Ebrahim
authors.forename: Mohammed
authors.initials: M
authors.lastname: Yehia
mesh_terms: D000282:Administration, Intravaginal; D000328:Adult; D020070:Cervical Ripening; D002584:Cervix Uteri / Q000473:pathology*; D002921:Cicatrix; D036861:Delivery, Obstetric / Q000295:instrumentation*; D004534:Egypt; D005260:Female; D006801:Humans; D007751:Labor, Induced / Q000379:methods; D007744:Obstetric Labor Complications; D011247:Pregnancy; D050497:Stillbirth; D014546:Urinary Catheterization / Q000379:methods*; D014599:Uterus / Q000473:pathology*; D055815:Young Adult
keywords: Cervical ripening; Cook balloon; Foley catheter; scarred uterus; stillbirth