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mechanical cervical ripening is achieved by using a transcervical balloon catheter which works by applying mechanical pressure on the cervical canal the balloon also lifts the fetal membranes triggering the release of endogenous prostaglandin this process usually results in softening and cervical dilation with less of an effect on effacement mechanical ripening is associated with the lowest chance of uterine systole and or fetal heart rate change during cervical ripening mechanical ripening is equally effective to achieving vaginal delivery as hormonal methods of cervical ripening cervical balloons can be placed either with the use of a speculum or through digital guidance a speculum is inserted and the cervix visualized the cervix may be cleansed with betadine solution for a septic technique forceps are used to thread the deflated end of an 18 french foley balloon catheter through the internal os the balloon is inflated with 30 to 60 milliliters of sterile saline following correct pla
