• Marta Jozwiak, Hilde A van de Lest, Nicole B Burger, Marja G K Dijksterhuis, and Jan Willem De Leeuw.
• Department of Obstetrics and Gynecology, Ikazia Hospital, Rotterdam, the Netherlands.
• Acta Obstet Gynecol Scand. 2014 Mar 1; 93 (3): 296-301.

ObjectiveTo evaluate spontaneous vaginal delivery and complication rates after induction of labor with a transcervical Foley catheter in women with a previous cesarean delivery.DesignRetrospective cohort study.SettingSecondary teaching hospital in the second largest city of the Netherlands.PopulationWomen with a history of cesarean delivery (n = 208), undergoing induction of labor with a Foley catheter in a subsequent pregnancy.Material And MethodsThe women who had induction of labor with a transcervical Foley catheter in the Ikazia Hospital, Rotterdam, between January 2003 and January 2012, were identified in a computerized database. Patient's records were checked for accuracy.Main Outcome MeasuresVaginal delivery rate, cesarean section rate, uterine rupture and maternal and neonatal (infectious) morbidity.ResultsOf the women 60% had a spontaneous vaginal delivery and 11% were delivered by vacuum extraction. Uterine rupture occurred in one woman. Postpartum hemorrhage was the most common maternal complication (12%). Maternal intrapartum and postpartum infections occurred in 5% and 1%. Proven neonatal infection was found in 3% of the cases. Two perinatal deaths occurred (1%), of which one was related to uterine rupture.ConclusionInduction of labor with a transcervical Foley catheter is an effective method to achieve vaginal delivery in women with a previous cesarean delivery. There is a low risk of uterine rupture and maternal and neonatal (infectious) morbidity in this cohort.© 2013 Nordic Federation of Societies of Obstetrics and Gynecology.

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