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Updated: Apr 24, 2026

External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
[Cervical ripening after previous cesarean section with Foley catheter: A prospective study of 41 patients]
C Lamourdedieu1, A Gnisci1, M Marcelli1
1Service de gynécologie-obstétrique, hôpital la Conception, 147, boulevard Baille, 13005 Marseille, France.
Objectives:
Effectiveness of cervical ripening with Foley catheter for patients requiring labor induction with a previous cesarean section and unfavorable cervical conditions.
Patients And Methods:
Prospective unicentric study conducted between 1 April 2011 and 31 October 2013 on 41 patients with medical indication for labor induction with a Bishop's score<7 and one previous cesarean section. Outcomes evaluated were mode of delivery, Bishop's score variations and maternal or neonatal complications.
Results:
Cervical ripening was performed in 39 patients and 17 (43.5%) were delivered vaginally. A total of 24/39 (61.5%) patients were put into work and 10/39 (25.6%) came into work immediately after removal of the Foley catheter. The average score improvement Bishop was 2.7±0.6 points. No maternal or fetal complication was reported.
Conclusion:
Foley catheter is an interesting procedure in patients with previous cesarean section and unfavorable cervical conditions requiring labor induction.
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