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Database - Alliance francophone pour l'accouchement respecté (AFAR)

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Created on : 28 Mar 2006
Modified on : 02 Dec 2007

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Bibliographical entry (without author) :

A randomized comparison of transcervical Foley catheter to intravaginal misoprostol for preinduction cervical ripening. {USA}. Obstet Gynecol. 2001 Apr;97(4):603-7.

Author(s) :

Sciscione AC, Nguyen L, Manley J, Pollock M, Maas B, Colmorgen G.

Year of publication :


URL(s) :…

Résumé (français)  :

Abstract (English)  :

OBJECTIVE: To compare the efficacy of intravaginal misoprostol tablets with transcervical Foley catheter for preinduction cervical ripening.

METHODS: Pregnant women who presented for induction of labor with unfavorable cervices (Bishop score less than 6) were assigned randomly to intravaginal misoprostol (50 microg tablet every 4 hours for a maximum of six doses) or 30-mL Foley catheter placed transcervically with maintenance of traction.

RESULTS: Among 111 women, 53 were allocated to misoprostol and 58 to Foley bulb. Contractile abnormalities were more frequent in the misoprostol group (20.4%) than the Foley group (0%) (P <.001). No statistically significant differences were noted between groups in change in Bishop score, preinduction cervical ripening times, and total induction times. There were no statistically significant differences in mode of delivery or adverse neonatal outcomes. Uterine rupture occurred in one woman with two previous cesarean deliveries in the misoprostol group.

CONCLUSION: Intravaginal misoprostol and transcervical Foley catheter are equivalent for cervical ripening. Uterine contractile abnormalities and meconium passage are more common with misoprostol.

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Keywords :

➡ vaginal birth after caesarean ; evidence-based medicine/midwifery ; c-section/caesarean ; induction of labor ; ripening of cervix ; fetal distress ; misoprostol (Cytotec) ; post-term pregnancy

Author of this record :

Cécile Loup — 28 Mar 2006
➡ latest update : Bernard Bel — 02 Dec 2007

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