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Balloon cervical ripening

Mechanical induction with an unfavourable cervix.

Source: NICE NG207

Steps

  1. CTG first; speculum or digital placement.
  2. Pass Foley or double-balloon catheter through the internal os.
  3. Inflate per device (Foley commonly 30–60 ml).
  4. Tape to thigh with gentle traction.
  5. Leave 12–24 h or until it falls out.
  6. Then ARM ± oxytocin.
Less uterine hyperstimulation than prostaglandins.
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