Use of single versus double Foley’s catheter in preinduction cervical ripening in postdate primigravidae: a clinical comparative study

Background and aim Currently, the most frequent obstetric procedure utilized, induction of labor affects ∼20% of pregnant women. This study aimed to compare the effectiveness of single and double Foley catheters (DFC) for cervical ripening before labor induction and to estimate maternal outcomes related to delivery mode, pain after or during insertion, overall patient satisfaction, and neonatal outcomes. Patients and methods The participants in this prospective comparison study were 84 postdate primigravida seen in the Obstetrics and Gynecology emergency departments of Al-Azhar Hospital in Assiut and Gerga Central Hospital from January 2023 to December 2024. There were 42 ladies in each of the two groups. Results There was not a significant distinction among the Single Foley’s Catheter and DFC (Handmade) groups in terms of Bishop score time of induction and after 12 h, mode of delivery, postpartum hemorrhage skin color, pulse, grimace, tone, as well as respiration. However, there was a significant variation in the Insertion to amniotomy time, Insertion to expulsion time, in addition to Insertion to delivery time. Conclusion The study compared single Foley catheters and DFC for cervical ripening in postdate primigravidae. The Bishop score showed no significant difference between the two groups, but significant variances has been found in insertion to expulsion, amniotomy, and delivery times. Neonatal outcomes were comparable, suggesting further investigation is needed to determine optimal labor induction strategies.