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Assessment of pain in women randomly allocated to speculum or digital insertion of the Foley catheter for induction of labor
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health. Uppsala universitet. (OBSTETRIK)
2011 (English)In: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 90, 997-1004 p.Article in journal (Refereed) Published
Abstract [en]

Objective. The primary aim was to assess pain subjectively and objectively in women

during insertion of a Foley catheter for induction of labor. A secondary aim

was to assess pain during cervical ripening and to evaluate maternal satisfaction.

Design. Randomized controlled trial. Setting. University hospital, Sweden. Population.

Forty-two women undergoing induction of labor and cervical ripening with

a Foley catheter. Methods. Women were randomly allocated to digital (n=21) or

to speculum (n=21) placement of a Foley catheter. A visual analogue scale (VAS)

was used for subjective assessment of pain and, for objective measurements, a skin

conductance algesimeter was used and the area under the curve (AUC) was calculated

(μSs). Maternal satisfaction was evaluated in a questionnaire. Main outcome

measures. Pain sensation during placement of the Foley catheter. Results. There was

a significant difference between groups in pain measurements during insertion of

the Foley catheter. The speculum group had higher median pain scores than the digital

group, VAS=5 vs. = 3 (p=0.03) and greater median AUC measurements: 1840

vs. 823μSs (p=0.04). There was no difference in pain assessments during cervical

ripening. Overall satisfaction scores were high and comparable between groups.

Conclusion. Digital placement of the Foley catheter is subjectively and objectively

less painful compared to the use of a speculum. Digital placement should therefore

be considered as an alternative in the management of these patients. Ripening of

the cervix with the Foley catheter is well tolerated and the overall satisfaction rate

among patients induced with this method is high.

Place, publisher, year, edition, pages
2011. Vol. 90, 997-1004 p.
Keyword [en]
Foley catheter, induction, labor, pain, skin conductance, visual analogue scale
National Category
Obstetrics, Gynecology and Reproductive Medicine
Research subject
Obstetrics and Gynaecology
URN: urn:nbn:se:uu:diva-278381DOI: 10.1111/j.1600-0412.2011.01197.xOAI: oai:DiVA.org:uu-278381DiVA: diva2:906493
Available from: 2016-02-24 Created: 2016-02-24 Last updated: 2016-02-24

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