scholarly journals A comparative study of intracervical Foley’s catheter and intracervical PGE2 gel for pre-induction cervical ripening

Author(s):  
Sunita Murmu ◽  
Chetna Dwivedi

Background: Induction of labor is a common procedure in obstetrics. It is usually performed when risk of continuing a pregnancy is more than benefit of delivery. Cervical ripening has got a close relationship with the success rate of delivery. Although there are many methods for cervical ripening, in this study Foley’s catheter and intra-cervical PGE2 gel are compared for labor induction and cervical ripening.Methods: This is a prospective randomized comparative study, undertaken in the department of obstetrics and gynecology, Tata Main Hospital, Jamshedpur. 70 cases in which labor was induced with Foley’s catheter were compared to other 70 cases who were induced with PGE2 gel.Results: The commonest indication for induction in Foley’s and PGE2 gel group was pregnancy induced hypertension. There was significant increase in the post induction Bishop’s score in both the groups. The induction to delivery interval was significantly lower in Foley’s group as compared to PGE2 group (p<0.0001). Neonatal outcomes were comparable in both groups. Incidence of side effects were more in PGE2 group.Conclusions: Foley’s catheter is safe and effective method for induction of labor compared to PGE2 gel with significant improvement in Bishop’s score and shorter induction delivery interval.

2012 ◽  
Vol 3 (6) ◽  
pp. 286-288
Author(s):  
Prakash Manae ◽  
◽  
Dr. Nazmeen Silotry ◽  
Dr. Aruna Mukherjee ◽  
Kishwor Bhandari ◽  
...  

Author(s):  
Anjali R. Kanada ◽  
Mahima Jain

Background: In cervical ripening, before induction of labour, is needed to increase the success of labour induction, to reduce complications and to diminish the rate of caesarean section and duration of labour. Pharmacological preparations are in widespread use for cervical ripening but are not free from side-effects and complications. Mechanical methods, i.e. the use of Foley’s catheter balloon, though effective have not gained much popularity because of the fear of infection. Therefore, the study has been conducted to prove the efficacy and safety of extra amniotic Foley catheter balloon and to compare it with intra-cervical prostaglandin E2 (PGE2) gel. The objective of the study was to the success of induction of labor depends on the cervical status at the time of induction. For effective cervical ripening both Foley's catheter and PGE2 gel are used. The aim of this study was to compare the efficacy of intra cervical Foley's catheter and intra cervical PGE2 gel in cervical ripening for the successful induction of labor.Methods: A randomized, comparative study was conducted in the department of obstetrics and gynaecology, Civil hospital, B.J. Medical College Ahmedabad, during a period of 8 month from September 2018 to April 2019. 100 patients at term with a Bishop's score ≤5 with various indications for induction were randomly allocated to group F (intra-cervical Foley’s catheter) and group P (PGE2 gel) with 50 women included in each group.Results: The groups were comparable with respect to maternal age, gestation age, indication of induction and initial Bishop's score. Both the groups showed significant change in the Bishop's score, 5.10±1.55 and 5.14±1.60 for Foley's catheter and PGE2 gel, respectively, p <0.001. However there was no significant difference between the two groups. There was no significant difference in the side effects and caesarean section rate in both groups. The induction to delivery interval was 16.01±5.50 hours in group F and 16.85 ± 3.81 hours in group P (p=0.073). Apgar scores, birth weights and NICU admissions showed no significant difference between the two groups.Conclusions: The study shows that both Foley's catheter and PGE2 gel are equally effective in pre induction cervical ripening.


2019 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Alfan Mahdi Nugroho ◽  
Adhrie Sugiarto ◽  
Susilo Chandra ◽  
Laras Lembahmanah ◽  
Rafidya Indah Septica ◽  
...  

1986 ◽  
Vol 24 (1) ◽  
pp. 3-7 ◽  
Author(s):  
A. Ellenbogen ◽  
O. Jaschevatzky ◽  
A. Davidson ◽  
S. Anderman ◽  
S. Grunstein

2007 ◽  
Vol 14 (01) ◽  
pp. 144-152
Author(s):  
MAIMOONA HAFEEZ ◽  
WASEEM TALIB ◽  
SAADIA SIDDIQUE

Objectives: For selecting the topic was to compare the efficacy of different methods of induction of labour. Design: Prospective observational study. Setting: Department of Obstetrics and Gynaecology Unit 11, Ghurki Trust Teaching Hospital Lahore. Period: One year, From 1st Jan 2004 to 31st Dec 2004. Subjects and methods. This study included pregnant ladies, irrespective of parity who were selected for induction of labour for different indications, after 28 weeks of gestation. Patients having abnormal presentation such as breech and patients with suspected cephalopelvicdisproportion were not included. Induction method was selected according to parity, indication for induction and Bishop scoring. Results. Total no of patients admitted in the said ward during the study period was 3500, 205 were induced with different methods. This gives prevalence of induction of labour in the study group as 5.86%. Age of the patients ranged from 17-45 years/with parity varying from 0-8. Five patients with previous caesarean section were also induced. Conclusion. The most common indication for induction of labour was pregnancy induced hypertension. Success rate of method used depends on Bishop scoring, PGE2 helps in cervical ripening and gives good results in patients with poor Bishop score.


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