Uzma Shaikh, Zoqeen Akhtar, Habiba Omer Shaikh, Tabassum Parveen, Mehar Fatima Shaikh, Ummarah Ahmed.
Mechanical induction of labour by using Foley catheter in grand multiparous women with previous one scar- a retrospective chart review from a tertiary care obstetric center in UAE.
South Asian J Emerg Med Jan ;3(2):22-6.

Background: Foley catheter has been increasingly used to induce labour but its use in grand-multiparous women with previous uterine scar still needs further evaluation. Aim: The objective of our study was to determine the success of mechanical induction of labour (MIOL) by using a Foley catheter in grand-multiparous women with previous uterine scar in our labour unit. METHOD: This study was carried out at labour unit in Al-Corniche hospital, Abu Dhabi, UAE. The study design was retrospective chart review and duration was from 1st Jan -31st December 2017. All patients that fulfilled the inclusion criteria were identified from the booking register in the study period and data was collected by reviewing the electronic medical record. Ethical approval was taken from the hospital ethics committee. RESULTS: The mean age of participants was 33.5 years +-3.5. A total of 56 women fulfilled the inclusion criteria out of which 48 were offered MIOL through Foley catheter (8 women were booked at another setting for delivery). Bishop score improved up to 3 +-0.5 points after insertion. Successful vaginal delivery was achieved in 37 women (77%) as compared to 11 women (22.9%) who proceeded with emergency C-section. Complications such as fever and post-par-tum hemorrhage were noted in 2 patients (4.06%) whereas none had uterine scar dehis-cence or hyperstimulation. CONCLUSION: Use of Foley`s catheter for MIOL was found to be a safe alternative to achieve vaginal birth in grand multiparous women in our setting where there are relative contraindications to prostaglandins and high risk of uterine scar rupture.

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