Open AccessCOMPARATIVE STUDY BETWEEN FOLEY CATHETER AND DINOPROSTONE GEL FOR CERVICAL RIPENING AND INDUCTION OF LABOUR IN PATIENTS AT TERM WITH UNFAVOURABLE CERVIX (BISHOP'S SCORE<4)
Author(s) -
Shrikant Warade,
Anshul Pahwa,
Savita Dhongade
Publication year - 2019
Publication title -
global journal for research analysis
Language(s) - English
DOI - 10.36106/gjra/7400171
Subject(s) - medicine , foley catheter , cervix , dinoprostone , bishop score , foley , gestational age , obstetrics , vaginal delivery , labor induction , ripening , group b , catheter , oxytocin , pregnancy , gynecology , surgery , prostaglandin e2 , chemistry , food science , cancer , biology , genetics
BACKGROUND- Since ancient times, labour inducton is a well established obstetric concept. In the pastfew decades, rate of labour induction has increased dramatically. The primary objective of this study wasto compare the efcacy of transcervical foley catheter with intracervical dinoprostone gel for cervical ripening and labourinduction in term singleton pregnancies with unfavourable cervix.METHODS- Term singleton pregnancies fullling inclusion criteria were randomized by chit box system to receive intracervicaldinoprostone or transcervical foley catheter. Progress of labour was monitored with the help of partogram. Labouraugmentation was done by oxytocin.RESULTS- 110 patients in each group were enrolled. Group A was induced with transcervical Foley catheter and group B withdinoprostone gel. Baseline characteristics like maternal age, parity, gestational age were comparable in each group. Therewas a signicant difference in the Bishop's score (<.0.05) at the end of 12 hours, Group B showing a greater improvement thanA. A signicant difference was also observed in the requirement of augmentation with Pitocin, 77.27% in foley group and63.63% in dinoprostone group . Although, there was no signicant difference observed in the mode of delivery (p>0.05) andinduction to delivery time interval (p>0.05) , maternal and neonatal morbidity between the groups.CONCLUSION- To conclude, Dinoprostone is associated with rapid cervical ripening . Although, mean induction to deliveryinterval and number of vaginal deliveries were comparable between the groups. Moreover, cost and safety prole of foleycatheter makes it comparable or even superior to dinoprostone gel for cervical ripening and induction of labour, especially indeveloping countries.