OUTCOME OF INDUCTION OF LABOUR WITH FOLLEYS CATHETER IN WOMEN WITH PREVIOUS ONE CESEAEAN SECTION

Abstract

Objective: To determine the results of induction of labor using Foley catheter in women who had one previous cesarean section as regards successful vaginal delivery, uterine scar dehiscence and uterine rupture.

Study Design & Setting: A descriptive case series study was done at Department of Obstetrics and Gynecology, Fauji Foundation Hospital, Lahore, May 2025 to September 2025.

Methodology: One hundred and forty-four pregnant women aged between 18-45 years who already had a one time lower-segment cesarean section, and who had to induce labor had been enrolled using non-probability consecutive sampling. A 22-French Foleys catheter was inserted transcervically and inflated with 60 ml saline for 24 hours. Oxytocin augmentation was administered according to RCOG guidelines when required. Outcomes measured included successful vaginal delivery, uterine scar dehiscence, and uterine rupture. Data were analyzed using SPSS version 23.

Results: The average age of the participants was 29.84 ± 4.62 years, and the average gestational age was 38.6 ± 0.9 weeks. Successful vaginal delivery occurred in 61.4% of cases, while 38.6% required cesarean section. Uterine scar dehiscence was observed in 3.5% and uterine rupture in 0.9% of patients.

Conclusion: Foleys catheter is a safe and effective method for induction of labor in women with one previous cesarean section, with high vaginal delivery success and minimal complications.