Ten Eikelder Mieke L G, van de Meent Marieke M, Mast Kelly, Rengerink Katrien Oude, Jozwiak Marta, de Graaf Irene M, Scholtenhuis Marloes A G Holswilder-Olde, Roumen Frans J M E, Porath Martina M, van Loon Aren J, van den Akker Eline S, Rijnders Robbert J P, Feitsma A Hanneke, Adriaanse Albert H, Muller Moira A, de Leeuw Jan W, Visser Harry, Woiski Mallory D, Weerd Sabina Rombout-de, van Unnik Gijs A, Pernet Paula J M, Versendaal Hans, Mol Ben W, Bloemenkamp Kitty W M
Department of Obstetrics, Leiden University Medical Center, Leiden, The Netherlands.
Department of Obstetrics and Gynecology, Maastricht Medical Center, Maastricht, The Netherlands.
Am J Perinatol. 2017 Jan;34(2):138-146. doi: 10.1055/s-0036-1584523. Epub 2016 Jun 24.
We assessed experience and preferences among term women undergoing induction of labor with oral misoprostol or Foley catheter. In 18 of the 29 participating hospitals in the PROBAAT-II trial, women were asked to complete a questionnaire within 24 hours after delivery. We adapted a validated questionnaire about expectancy and experience of labor and asked women whether they would prefer the same method again in a future pregnancy. The questionnaire was completed by 502 (72%) of 695 eligible women; 273 (54%) had been randomly allocated to oral misoprostol and 229 (46%) to Foley catheter. Experience of the duration of labor, pain during labor, general satisfaction with labor, and feelings of control and fear related to their expectation were comparable between both the groups. In the oral misoprostol group, 6% of the women would prefer the other method if induction is necessary in future pregnancy, versus 12% in the Foley catheter group (risk ratio: 0.70; 95% confidence interval: 0.55-0.90; 0.02). Women's experiences of labor after induction with oral misoprostol or Foley catheter are comparable. However, women in the Foley catheter group prefer more often to choose a different method for future inductions.