Cook cervical balloon

Posted
by obcrn obcrn (New) New

I am looking for some good reference material or even a sample hospital policy for the use of the Cook Cervical Ripening Balloon. Almost everything I can find online is related to using a Foley catheter for ripening. Any thoughts??

If anyone is using it... are your docs using direct visualization of the cervix or placement by "feel"?

Any help would be appreciated, thank you!

klone, MSN, RN

Specializes in OB-Gyn/Primary Care/Ambulatory Leadership. Has 16 years experience. 14,297 Posts

How does it differ from a foley?

LibraSunCNM, MSN

Specializes in OB. Has 10 years experience. 1,608 Posts

It has two balloons instead of one, it's specifically designed for cervical ripening. One balloon inflates inside the cervical os, and one inflates outside, to maximize the mechanical dilation. So it sort of looks like a barbell when inflated. We use them at my facility, I place them by "feel."

obcrn

obcrn

2 Posts

It has two balloons instead of one, it's specifically designed for cervical ripening. One balloon inflates inside the cervical os, and one inflates outside, to maximize the mechanical dilation. So it sort of looks like a barbell when inflated. We use them at my facility, I place them by "feel."

Thank you, does your facility have a policy or procedure?

kejRN

kejRN

Specializes in Ortho/Med-Surg, L&D, Observation/ER. 27 Posts

We just started using these at my facility recently. I have not seen one placed yet, but I am curious about them. The other night, one was placed on another patient. From how the nurse was talking, it seems like it was placed by feel and not visualization. I don't think hers was in very long before she SROM'd and was 4cms at that point. Hopefully in the near future I will get to see one placed.

LibraSunCNM, MSN

Specializes in OB. Has 10 years experience. 1,608 Posts

Thank you, does your facility have a policy or procedure?

We have a general policy on cervical ripening, but not one solely for the Cook catheter (I'm pretty sure). What were you looking for specifically?

MrsRitchie

MrsRitchie

Specializes in ICU. 22 Posts

Our foley bulb protocol and Cook cervical catheter protocols are identical, with the exception of how much NS to insert and there is no need to tug on the Cook.

MrsRitchie

MrsRitchie

Specializes in ICU. 22 Posts

Also, our providers place them by feel, usually.

SuzanaRM

SuzanaRM

1 Post

I need a refresher on working with a cook cervical balloon. It's been awhile. The one at my facility has 3 ports, red, green, blue. I know one is cervical and one is vaginal and one is filled more than the other. Someone refresh me...