KHỞI PHÁT CHUYỂN DẠ BẰNG ĐẶT BÓNG ĐÔI SONDE FOLEY CẢI TIẾN KẾT HỢP VỚI OXYTOCIN Ở THAI PHỤ CỔ TỬ CUNG KHÔNG THUẬN LỢI TẠI BỆNH VIỆN THANH NHÀN

Abstract

Objective: To evaluate the outcomes of labor induction using modified double-balloon catheter Foley combined with oxytocin in full-term pregnant women with an unfavorable cervix at Thanh Nhan Hospital in 2024. Subjects and Methods: A cross-sectional descriptive study was conducted on 136 pregnant women with gestational age over 37 weeks at the Obstetrics Department of Thanh Nhan Hospital from January 2024 to December 2024. Results: The rate of cervical ripening after balloon placement was 90.4%, and the vaginal delivery rate was 76.5%. All participants delivered (either vaginally or by cesarean section) within 24 hours. The average time from balloon insertion to spontaneous expulsion/removal was 6.2 ± 3.1 hours. The average time from oxytocin administration to delivery or cesarean section was 3.8 ± 1.9 hours. Most participants experienced no complications, with 81.6% reporting no adverse events. The percentage of newborns with a 1-minute Apgar score ≥7 was 97.8%. Conclusion: The use of modified double-balloon Foley catheter combined with oxytocin for labor induction in full-term pregnant women with an unfavorable cervix is highly effective in achieving cervical ripening and vaginal delivery, shortens labor duration, and is safe for both mothers and newborns.