{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,21]],"date-time":"2026-06-21T04:40:01Z","timestamp":1782016801403,"version":"3.54.5"},"reference-count":19,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,3,27]],"date-time":"2025-03-27T00:00:00Z","timestamp":1743033600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,3,27]],"date-time":"2025-03-27T00:00:00Z","timestamp":1743033600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study evaluates the efficacy and safety of cervical ripening with a Foley catheter balloon in a cohort of women with a medical indication for labor induction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this prospective observational study, we evaluated 320 women with singleton term pregnancies, Bishop's score less than 6, and scheduled cervical ripening with a Foley catheter balloon. The outcomes assessed were: Bishop's score at first re\u2010evaluation 18\u201324\u2009h later, gain in Bishop's score at first re\u2010evaluation, Bishop's score \u22656 at first re\u2010evaluation, onset of labor in the 24\u2009h after insertion, delivery within 24\u2009h, delivery within 48\u2009h, and failed labor induction. Overall success of cervical ripening was defined as achieving a favorable Bishop's score or onset of labor within 24\u2009h. Adverse events occurring during balloon insertion or until the first re\u2010evaluation were also documented.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>At first re\u2010evaluation 18\u201324\u2009h later, 106 women (33.1%) had a Bishop's score \u22656, and the median gain in Bishop's score was 2. In the first 24\u2009h after balloon insertion, 48 women (15%) went into labor, for an overall success rate of 48.1%. Delivery within 48\u2009h occurred in 214 (66.9%), and failed labor induction in 38 (11.9%). Adverse events were observed in 14 women (4.4%), mainly pain\/discomfort, vaginal bleeding, and balloon rupture. All were mild and required no further intervention. The risk of caesarean delivery for failed labor induction was decreased with outpatient cervical ripening (OR 0.39, 95% CI 0.16\u20130.86), and when an open cervix was present at the start of the process (OR 0.43, 95% CI 0.18\u20130.97).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Approximately half of women undergoing cervical ripening with a Foley catheter balloon achieve a favorable cervix or onset of labor within 24\u2009h; 67% are delivered within 48\u2009h. Adverse events are rare and mild, requiring no further intervention. Outpatient cervical ripening and an open cervix on admission are associated with higher success rates.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.70088","type":"journal-article","created":{"date-parts":[[2025,3,30]],"date-time":"2025-03-30T01:02:02Z","timestamp":1743296522000},"page":"768-773","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Cervical ripening with Foley catheter balloon: A prospective cohort of 320 women"],"prefix":"10.1002","volume":"170","author":[{"given":"M.","family":"Carvalho\u2010Afonso","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Faculdade de Medicina de Lisboa, Medical School University of Lisbon  Lisbon Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Policiano","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Faculdade de Medicina de Lisboa, Medical School University of Lisbon  Lisbon Portugal"},{"name":"Department of Obstetrics, Gynaecology and Reproductive Medicine Santa Maria University Hospital  Lisbon Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Clode","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Ginecologia e Obstetr\u00edcia Hospital CUF  Torres Vedras Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Ayres\u2010de\u2010Campos","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Faculdade de Medicina de Lisboa, Medical School University of Lisbon  Lisbon Portugal"},{"name":"Department of Obstetrics, Gynaecology and Reproductive Medicine Santa Maria University Hospital  Lisbon Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,3,27]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"WHO Recommendations for Induction of Labour","author":"World Health Organization","year":"2011"},{"key":"e_1_2_8_3_1","unstructured":"Population Health C.A.a.S.C.T. NHS Digital.NHS Maternity Statistics England\u20142021\u201322.2022https:\/\/digital.nhs.uk\/"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1800566"},{"key":"e_1_2_8_5_1","first-page":"266","article-title":"Pelvic scoring for elective induction","volume":"24","author":"Bishop EH","year":"1964","journal-title":"Obstet Gynecol"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.15047"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(22)01845-1"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2016.62"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-13-25"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0136856"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2009.02279.x"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2021.11.1368"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2016.11.026"},{"issue":"5","key":"e_1_2_8_14_1","first-page":"751","article-title":"Transcervical Foley catheter for preinduction cervical ripening in an outpatient versus inpatient setting","volume":"98","author":"Sciscione AC","year":"2001","journal-title":"Obstet Gynecol"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.14247"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000004041"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/01443615.2016.1174826"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0040-1705170"},{"issue":"9","key":"e_1_2_8_19_1","first-page":"781","article-title":"The timing of adverse events with Foley catheter preinduction cervical ripening; implications for outpatient use","volume":"31","author":"Sciscione AC","year":"2014","journal-title":"Am J Perinatol"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001563"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.70088","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.70088","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.70088","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T07:51:14Z","timestamp":1771314674000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.70088"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,27]]},"references-count":19,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1002\/ijgo.70088"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.70088","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,27]]},"assertion":[{"value":"2023-12-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-27","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}