Women should be advised to contact maternity assessment or inform the midwife if they experience any of the following:
- Signs of labour
- Ruptured membranes
- Vaginal bleeding
- Feeling feverish or unwell
- Balloon catheter falls out
- Difficulty passing urine
- Persistent pain or discomfort
- Change in fetal movements*
These women should have a prompt obstetric review and have the balloon catheter removed. If the balloon catheter has dislodged then assess suitability for amniotomy. If they remain unfavourable then offer vaginal prostaglandins if not contraindicated. Do not reinsert a further balloon catheter.
*Patients with a change in fetal movements should be invited into Maternity assessment/triage for CTG. If CTG is normal leave the balloon catheter in place and continue the remainder of the IOL as an inpatient with 6 hourly CTGs.