HIỆU QUẢ CỦA KHỞI PHÁT CHUYỂN DẠ BẰNG ỐNG THÔNG FOLEY ĐẶT Ở KÊNH CỔ TỬ CUNG Ở THAI TRÊN 40 TUẦN TẠI BỆNH VIỆN TỪ DŨ

Abstract

Background: Foley catheter as an induction agent has already been shown as a clinically effective, simple, and low-cost method, and widely used in Vietnam. The decision about the right time to indicate labor induction, which not only is effective but also reduces marternal and fetal mortality and morbidity rate, is increasingly concerned. Objective: To identify the labor induction success rate on women beyond 40 weeks gestation indicated transcervical Foley catheter at Tu Du Hospital. Methods: The study reported on series of 385 pregnant women beyond 40 gestational weeks before the spontaneous onset of labor, conducted between November 2020 and April 2021 at Tu Du Hospital. Results: The rate of labor induction success accounts for 83.11% [95%CI: 79.35-86.87]. The balloon self-fall/ deflated factor is associated with successful rate PR = 0.51 [95%CI: 0.29-0.91]. The vaginal delivery rate is 44.94% with 3 relative factors: nulliparous or multiparous factor, history of Cesarean delivery factor and efficiency of Foley labor induction factor. Conclusions: The rate of labor induction success accounts for 83.11%. This is a highly successful labor induction method, helping to increase the likelihood of vaginal delivery with insignificant rate of complications, which can be monitored and provided early interventions.