Observation on the application effect of the Foley catheter combined with oxytocin in labor induction for full-term advanced maternal age pregnancy
Ming Lumin
Lan Bo
Liu Jin
Zhou Tingting
Yang Min
Lan Ruilun
Zheng Yong
Liang Hao
Abstract：Objective To investigate the application effect of the Foley catheter combined with oxytocin in labor induction for full-term advanced maternal age pregnancy,providing references for clinical treatment.Methods A total of 178 full-term advanced maternal age puerpura admitted to Chongqing Jiangjin Maternal and Child Health Hospital from March 2023 to March 2025 were selected and randomly assigned to the oxytocin group(n=89)and the Foley combination group(n=89).The oxytocin group received oxytocin for labor induction;the Foley combination group received a Foley catheter combined with oxytocin.Cervical Bishop scores before and 12 hours after intervention were compared between groups.Duration from induction to regular contractions and total labor duration in vaginally delivering women,delivery modes,and maternal-neo-natal outcomes were analyzed.Results Before intervention,no significant difference was noted in cervical Bishop scores be-tween groups(P＞0.05).At 12 hours post-intervention,Bishop scores increased significantly in both groups versus pre-in-tervention,with significantly higher scores in the Foley combination group than in the oxytocin group(P＜0.05).The Fo-ley combination group had significantly higher vaginal delivery rates(P＜0.05)and significantly lower cesarean section rates(P＜0.05)than the oxytocin group.Duration from induction to regular contractions and total labor duration were signifi-cantly shorter in the Foley combination group(P＜0.05).Postpartum blood loss was decreased and cervical laceration inci-dence was lower in the Foley combination group,with statistically significant differences(P＜0.05).Neonatal Apgar scores were significantly higher in the Foley combination group than the oxytocin group(P＜0.05).Conclusion For labor induction in full-term advanced maternal age pregnancy,the Foley catheter combined with oxytocin effectively promotes cervical ripeness,shortens labor duration,and reduces cesarean section rates,with high safety profiles,warranting clinical promotion.
Keywords：Foley catheterOxytocinFull-term advanced maternal age pregnancyCervical ripenessLabor inductionMa-ternal-neonatal outcomes
Publication Date：2025-08-20
Online Publishing Date：2025-12-09(First online date of this platform, not the publication date of the document)
Pages：5( 92-96 )