OBSadvanced
Place the steps of mechanical cervical ripening using a Foley catheter in the correct chronological order:
Answer
Pass the catheter through the cervical canal under sterile conditions, Position the balloon just above the internal cervical os, Inflate the balloon with sterile saline and apply gentle traction, Await spontaneous expulsion or remove the catheter, then assess the need for further induction
Explanation
The Foley catheter is passed through the cervical canal, positioned above the internal os, inflated, and placed on traction. It may be left until expelled or removed after an interval; following removal, many women need oxytocin and/or amniotomy. The slides describe sterile speculum examination and forceps assistance as a common insertion approach.
**Key takeaway:** Correct positioning and subsequent reassessment are integral to Foley ripening.
**Glossary:** **Internal os**: the opening of the cervical canal into the uterus. **Traction**: a pulling force.
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