Objectives:The Foley balloon catheter (FC) is a viable method for cervical ripening,
but concerns about infection risk restrict its use in cases of prolonged
prelabour rupture of membranes (PROM).This study aims to evaluate
the efficacy and safety of the FC compared to oral misoprostol for cervical
ripening after PROM. Study Design:A retrospective data-analysis
of 128 pregnant women was conducted. Of these, 49 underwent cervical ripening
with an FC and 79 with oral misoprostol. We includedall
women with a vital singleton pregnancy at 37-42 weeks of gestation who underwent cervical ripening after ≥ 24 hours of
PROM in specific time frames in two Dutchsecondary care and teaching hospitals.
The primary outcome was the incidence of intrapartum infection, a composite of
maternal and neonatal infection. In addition, we evaluated the mode of
delivery, duration of priming and priming-to-delivery interval.Secondary endpoints included uterine hyperstimulation, umbilical cord
prolapse, birth weight, Apgar scores, length of admission to the neonatal low
dependency unit, admission to the (neonatal) Intensive Care Unit (ICU) and
mortality. Statistical analyses included bivariate and multivariate techniques. Results:Cervical ripening with FC,
compared with oral misoprostol, showed a higherincidence
of intrapartum infection, respectively 32.7% (n = 16) vs. 12.7% (n = 10) (
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