Perbandingan Efektivitas Kateter Foley Dan Misoprostol Dalam Pematangan Serviks Untuk Induksi Persalinan : Tinjauan Sistematis

I Gede Nanda Alana Daniswara, Aditya Prabawa, Ida Ayu Diah Purnama Sari

Sari


Induksi persalinan pada serviks belum matang menggunakan Foley catheter atau misoprostol, namun perbandingan efektivitas keduanya masih diperdebatkan. Penelitian ini bertujuan membandingkan efektivitas Foley catheter dan misoprostol terhadap pematangan serviks, waktu menuju persalinan, dan keberhasilan persalinan pervaginam. Systematic literature review mengikuti PRISMA dengan PICO pada ibu hamil, membandingkan Foley catheter dan misoprostol melalui PubMed, Google Scholar, Semantic Scholar, dan ScienceDirect periode 2020–2025 dengan desain RCT dan quasi-eksperimental. Lima studi memenuhi kriteria dan misoprostol lebih efektif meningkatkan skor Bishop dan memperpendek interval induksi hingga persalinan, tetapi meningkatkan risiko tachysystole dan abrupsio plasenta. Misoprostol efektif mempercepat persalinan dengan pemantauan ketat, sedangkan Foley catheter lebih aman untuk pasien berisiko tinggi dalam praktik klinis sehari-hari serta mempertimbangkan ketersediaan fasilitas dan kompetensi tenaga kesehatan setempat secara umum.


Kata Kunci


Induksi persalinan; Foley catheter; misoprostol; pematangan serviks; serviks belum matang

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Referensi


Abdi, N., Alavi, A., Pakbaz, F., & Darabi, H. (2021). Vaginal misoprostol versus intracervical Foley catheter for cervical ripening in postdate primigravid women: a randomized clinical trial. BMC Pregnancy and Childbirth, 21(1), 4–9. https://doi.org/10.1186/s12884-021-04011-0

Allameh, T., Seyed-Hoseini, Z. S., Allameh, Z., & Dehghan, M. (2023). E Cervical ripening: Intravaginal Misoprostol in Compare to Intracervical Foley Single Balloon Catheter, A Randomized Clinical Trial. Journal of Obstetrics, Gynecology and Cancer Research, 8(2), 113–119. https://doi.org/10.30699/jogcr.8.2.113

Amarasena, B., Goonewardene, M., Perera, R., & Furukan, R. (2021). Oral Misoprostol for 48 hours Versus a Supra Cervical Foley Catheter for 48 Hours for Induction of Labour in Post Dated Pregnancies: A Randomized Control Trial. Ceylon Medical Journal, 66(2), 77. https://doi.org/10.4038/cmj.v66i2.9468

Bakker, R., Pierce, S., & Myers, D. (2017). The role of prostaglandins E1 and E2, dinoprostone, and misoprostol in cervical ripening and the induction of labor: a mechanistic approach. Archives of Gynecology and Obstetrics, 296(2), 167–179. https://doi.org/10.1007/s00404-017-4418-5

Cunningham, F., Leveno, undefined, Bloom, undefined, Spong, undefined, Dashe, undefined, Hoffman, undefined, Casey, undefined, & Sheffield, undefined. (2022). William’s Obstetrics. 26 ed. 94–95. https://www.mendeley.com/catalogue/3afc01ab-9488-3601-8b62-743d89e7d5b8/?utm_source=desktop

Dewi, I. P., & Salmiyati, Z. (2016). EVALUASI Penggunaan Misoprostol Pada Kehamilan Postterm Di Bangsal Kebidanan RSUP DR. M. Djamil Padang. Jurnal Ipteks Terapan, 3, 170–175.

Nurul Qalbi, & Grace Novaline Tampanatu. (2024). Perbandingan Induksi Menggunakan Misoprostol dan Oxytosin. Al-Hayat: Natural Sciences, Health & Environment Journal, 2(2), 216–224. https://doi.org/10.47467/alhayat.v2i2.4542

Nwali, M. I., Agboeze, J., Obi, V. O., Ikeotuonye, A. C., Ugadu, I. O., & Ugwa, E. A. (2021). Cervical Ripening for Induction of Labor: A Randomized Comparison between Vaginal Misoprostol versus Foley’s Catheter Placement in a Nigeria Tertiary Hospital. Open Journal of Obstetrics and Gynecology, 11(03), 252–262. https://doi.org/10.4236/ojog.2021.113024

Segni, H., Haleke, W., & Ali, E. (2015). Effectiveness and Safety of Low Dose Vaginal Misoprostol Compared to Trans Cervical Foley Catheter for Cervical Ripening and Induction of Labor in Post Term Pregnant Women Admitted to Gandi Memorial Hospital, Addis Ababa

and Felege Hiwot Referral Hospital. Journal of Medical and Health Sciences, 4(4), 47–53.

Temesgen, T., Figa, Z., Gido, R., Solomon, D. F., Alemu, A., Andargie, M., Bedecha, F., & Berwo, M. (2024). Comparison of effectiveness of Foley catheter versus vaginal misoprostol for cervical ripening in induction of labour in Gedeo zone public hospitals, Ethiopia, 2022. Quasi-experimental design. International Journal of Africa Nursing Sciences, 20(January), 100734. https://doi.org/10.1016/j.ijans.2024.100734

Tendean, H. M. M., & Lumentut, A. W. (2020). Keberhasilan Kateter Foley Intraservikal Untuk Pematangan Serviks Pada Kehamilan ≥ 41 Minggu. Jurnal Biomedik:JBM, 12(3), 168. https://doi.org/10.35790/jbm.12.3.2020.31474




DOI: https://doi.org/10.33024/jikk.v13i2.21888

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