Cook catheter for cervical ripening

CEG · Dec 2, 2009

I have not used these but I am a big fan of the foley balloon induction so I think this is a similar idea with more $$$ involved. Definitely a plus that there are no meds and fewer risks.

feisty · Dec 3, 2009

Our MD's like to do foley bulb inductions. They have recently started placing cytotec after the foley is in place. I like the foley bulb induction but do not like it when the cytotec is placed along with it.

ragingmomster, BSN, MSN, RN · Dec 4, 2009

Not sure what a cook catheter is, but would love to hear.

We are a teaching hospital and have private MD's also. Our privates will do an EASI cath but the residents prefer to place a foley bulb to gravity. IMHO this is barbaric ( :down: ) and I will just make the set up for an EASI cath. When the resident says "oh, you have an EASI cath set up?" I reply "Oh, yeah, that's just what I am used to."

I can't imagine a patient agreeing to having a liter of fluid hung off their cervix when an EASI cath can do the job too. Yes, it sometimes takes more time, but I can only imagine the agony of having that drainage bag just hanging out there. :eek:

I have never seen cytotec used with a foley bulb, is it given PV?

ldcmw1 · Dec 4, 2009

here is a website on the cook catheter.

cervical ripening balloon

the cook cervical ripening balloon offers a safe, simple method for cervical ... i. ripening of the unfavorable cervix with extraamniotic catheter balloon: ...

www.cookmedical.com/wh/features/crb_en.../index_crb.html

MistyBlue · Dec 5, 2009

We did foley inductions in NC. They were often placed in the office and taped to the thigh with a little bit of tension and the pt was told to come to the hospital when the balloon fell out. Where does the liter of fluid come into play? Have never seen it done any other way.

CEG · Dec 5, 2009

We did foley inductions in NC. They were often placed in the office and taped to the thigh with a little bit of tension and the pt was told to come to the hospital when the balloon fell out. Where does the liter of fluid come into play? Have never seen it done any other way.

That's how I have seen it done too. I cannot imagine this bag of fluid hanging from the cervix.

jenrninmi, MSN, RN · Dec 5, 2009

Yeah, I've never heard of using a liter of fluid. We usually just inflate the balloon with 30-40 ml of saline and apply traction to the leg with tape.

LDRNMOMMY, BSN, RN · Dec 6, 2009

Not sure what a cook catheter is, but would love to hear.
We are a teaching hospital and have private MD's also. Our privates will do an EASI cath but the residents prefer to place a foley bulb to gravity. IMHO this is barbaric () and I will just make the set up for an EASI cath. When the resident says "oh, you have an EASI cath set up?" I reply "Oh, yeah, that's just what I am used to."
I can't imagine a patient agreeing to having a liter of fluid hung off their cervix when an EASI cath can do the job too. Yes, it sometimes takes more time, but I can only imagine the agony of having that drainage bag just hanging out there.
I have never seen cytotec used with a foley bulb, is it given PV?

ITA! Totally barbaric! Where I worked at previously there was one doc that would INSIST on Foley balloons to gravity with the liter of fluid. A little bit of tension and cloth tape works just as well. Like you said, it does take longer. The patients always consented to it, but I really don't think they really truly had an idea of what was about to happen.

We use the Cook balloon where I work now. It's great. The docs use 60 ml in each balloon. The patient is a good 4-5 cm when the balloon comes out. Some docs prefer low dose pitocin (2-4 millunits/minute) along with the balloon and some do not. No tension is required on the Cook balloon due to the lady partsl balloon. I do still tape the tube to the leg, I just don't put any tension on it.

SmilingBluEyes · Dec 6, 2009

A LITER ????? wow that is a lot of fluid and I have never heard of this. Our balloons are used like this:

one inside the cervical os, about 20-30 ml and one outside, same amt. When it dislodges, the cervix is about 4cm. A liter is unreal. Are you sure about this amount?

LDRNMOMMY, BSN, RN · Dec 7, 2009

Yes, a liter of fluid! It was horrible. There was only one doc who insisted on doing it that way because she saw it in residency, much like the residents that ragingmonster describe.