Commentary

Cervical prep before cervical ripening


 

Dr. Louis Freedman recently published an article on Foley catheter insertion for cervical ripening [October]. I was wondering, does he prep the cervix before inserting the catheter?

—LORRAINE ROSE-LERMAN, CNM
WALNUT CREEK, CALIF

Dr. Freedman responds:

There is no need to prep the cervix before inserting the Foley catheter. The Foley is a foreign object that will remain in the vagina and cervix for hours, and there is no prep that can prevent microorganisms from ascending along the Foley into the extra-ovular space. If the patient is positive for group B streptococcus, I will begin antibiotic prophylaxis at the time of initial insertion.

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