Assessment of pain in women randomly allocated to speculum or digital insertion of the Foley catheter for induction of labor

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MARC

Jonsson, Maria,1966-Uppsala universitet,Obstetrik & gynekologi (author)

Assessment of pain in women randomly allocated to speculum or digital insertion of the Foley catheter for induction of labor

Article/chapterEnglish2011

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2011-06-27
Wiley,2011
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LIBRIS-ID:oai:DiVA.org:uu-159475
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-159475URI
https://doi.org/10.1111/j.1600-0412.2011.01197.xDOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:123223389URI

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Language:English
Summary in:English

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Subject category:art swepub-publicationtype

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ObjectiveThe 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.DesignRandomized controlled trial. Setting. University hospital, Sweden. Population. Forty-two women undergoing induction of labor and cervical ripening with a Foley catheter.MethodsWomen 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 (mu Ss). Maternal satisfaction was evaluated in a questionnaire. Main outcome measures. Pain sensation during placement of the Foley catheter.ResultsThere 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. 823 mu Ss (p=0.04). There was no difference in pain assessments during cervical ripening. Overall satisfaction scores were high and comparable between groups.ConclusionDigital 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.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Reproduktionsmedicin och gynekologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Obstetrics, Gynaecology and Reproductive Medicine hsv//eng
Foley catheter
induction
labor
pain
skin conductance
visual analogue scale

Added entries (persons, corporate bodies, meetings, titles ...)

Hellgren, Charlotte,1985-Uppsala universitet,Obstetrik & gynekologi(Swepub:uu)chahe643 (author)
Wiberg-Itzel, EvaKarolinska Institutet(Swepub:uu)evawi386 (author)
Åkerud, Helena,1972-Uppsala universitet,Obstetrik & gynekologi(Swepub:uu)helelars (author)
Uppsala universitetObstetrik & gynekologi (creator_code:org_t)

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In:Acta Obstetricia et Gynecologica Scandinavica: Wiley90:9, s. 997-10040001-63491600-0412

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