scholarly journals Sequential Foley Catheter and Misoprostol Versus Misoprostol Alone for Induction of Labor in Postdated Pregnancy: a Randomized Controlled Trial

2020 ◽  
Vol 3 (1) ◽  
pp. 105-112
Author(s):  
Baburam Dixit Thapa ◽  
Tara Manandhar ◽  
Sarita Sitaula ◽  
Tulasa Basnet
Keyword(s):  
Vaginal Delivery ◽  
Controlled Trial ◽  
Foley Catheter ◽  
Induction Of Labor ◽  
Normal Vaginal Delivery ◽  
Pharmacological Agents ◽  
Sequential Group ◽  
Vaginal Misoprostol ◽  
Foley’S Catheter ◽  
Time To Delivery

Introduction: Induction of labor is done with the aim of normal vaginal delivery. There are different methods; mechanical like intra-cervical Foley’s or pharmacological agents like misoprostol ordinoprostone. Objectives: To compare sequential use of Foley’s catheter and vaginal misoprostol in comparison with vaginal misoprostol only. Methods: Patients with period of gestation more than or equal to 41 weeks without any complications were assigned randomly according to computer generated randomization into sequential use ofintracervical Foley followed by vaginal misoprostol after 24 hours (sequential group) or vaginalmisoprostol only. Primary outcome was rate of normal vaginal delivery. Secondary outcomes were induction to delivery interval, maternal and fetal morbidity. Results: Rate of normal vaginal delivery in sequential group (n= 353) and misoprostol alone group(n= 356) was 71.6% and 53.3% (p < 0.001) but the time to delivery from induction is statistically more in sequential group (30.3 vs. 11.2 hours, p< 0.001). Maternal outcomes like postpartum hemorrhage, hyper-stimulation syndrome, chorioamnitis and neonatal outcomes like low Apgar score, meconium stained baby and stillbirth are similar in both the groups. Conclusions: The priming of cervix using intracervical Foley catheter before giving vaginalmisoprostol was beneficial in increasing the rate of normal vaginal delivery but it increased the induction to delivery interval.

scholarly journals Comparative study between transcervical extra-amniotic Foley’s bulb and prostaglandin E2 gel for pre-induction cervical ripening

2020 ◽  
Vol 10 (1) ◽  
pp. 119
Author(s):  
Prajakta Goswami ◽  
Kapil Annaldewar ◽  
Deepali Giri ◽  
Sachin Giri
Keyword(s):  
Prostaglandin E2 ◽  
Vaginal Delivery ◽  
Foley Catheter ◽  
Induction Of Labor ◽  
Cervical Ripening ◽  
Normal Vaginal Delivery ◽  
Bishop Score ◽  
Group A ◽  
Foley’S Catheter ◽  
Group B

Background: Induction of labor is an artificial initiation of uterine activity before the spontaneous onset of labor with the aim of achieving vaginal delivery. Various pharmacological and non-pharmacological methods have been studied for the purpose.Methods: This randomized prospective study conducted in the Department of Obstetrics and Gynaecology at the Seth V. C. Gandhi & M. A. Vora Municipal General Hospital (Rajawadi Hospital), Mumbai from June 2019 to April 2020. It included pregnant patients admitted to the labor ward for induction of labor. A total 200 women were recruited and randomly allocated to the two study groups fulfilling the following selection criteria. Of these, 100 women were included in Foley's catheter group (group A) and 100 in (group B) prostaglandin E2 (PGE2) group.  Results: The subjects included mainly were of 24-28 years age group. The period of gestation was 37-42 weeks in majority of the women in both the groups. Maximum numbers of women in both groups were primigravidae, being 66% in group A and 70% in group B. Foley catheter proved to be a highly effective pre-induction ripening agent for unfavorable cervix, compared to PGE2 gel, as evident by the mean Bishop score at 12 hours (p<0.05) and by the difference in change of Bishop score over 12 hours (p<0.05) in both groups A and B. Women in both the groups had a high rate of normal vaginal delivery, rate being significantly more in Foley’s group.Conclusions: This study concludes that extra-amniotic Foley’s catheter balloon is an effective, safe, simple, low cost, reversible, non-pharmacological mechanical method of pre-induction cervical ripening.

scholarly journals Foley Catheter versus Vaginal Misoprostol for Labour Induction

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Nasreen Noor ◽  
Mehkat Ansari ◽  
S. Manazir Ali ◽  
Shazia Parveen
Keyword(s):  
Vaginal Delivery ◽  
Foley Catheter ◽  
Labour Induction ◽  
Sterile Saline ◽  
Group I ◽  
Catheter Group ◽  
Uterine Hyperstimulation ◽  
Spss Software ◽  
Vaginal Misoprostol ◽  
Foley’S Catheter

Objectives. To compare the efficacy and safety of intravaginal misoprostol with transcervical Foley catheter for labour induction.Material and Methods. One hundred and four women with term gestation, with Bishop score < 4, and with various indications for labour induction were randomly divided into two groups. In Group I, 25 μg of misoprostol tablet was placed intravaginally, 4 hourly up to maximum 6 doses. In Group II, Foley catheter 16F was placed through the internal os of the cervix under aseptic condition and then inflated with 50 cc of sterile saline. Statistical analysis was done using SPSS software.Results. The induction to delivery interval was 14.03 ± 7.61 hours versus 18.40 ± 8.02 hours (p<0.01). The rate of vaginal delivery was 76.7% versus 56.8% in misoprostol and transcervical Foley catheter group, respectively. Uterine hyperstimulation was more common with misoprostol. Neonatal outcome was similar in both the groups.Conclusion. Intravaginal misoprostol is associated with a shorter induction to delivery interval as compared to Foley’s catheter and it increases the rate of vaginal delivery in cases of unripe cervix at term. Transcervical Foley catheter is associated with a lower incidence of uterine hyperstimulation during labour.

scholarly journals Induction of Labor in Post Dated Pregnancy with Intra-cervical Foley Catheter in Antenatal Ward

2018 ◽  
Vol 3 (1) ◽  
pp. 338-341
Author(s):  
Baburam Dixit ◽  
Tara Manandhar ◽  
Sarita Sitaula ◽  
Tulasa Basnet
Keyword(s):  
Vaginal Delivery ◽  
Foley Catheter ◽  
Health Sciences ◽  
Induction Of Labor ◽  
Normal Vaginal Delivery ◽  
Great Success ◽  
Distilled Water ◽  
Spss Software ◽  
Pro Forma ◽  
Period Of Gestation

Introduction: Induction of labor is one of the commonest obstetric procedures done these days with the aim of normal vaginal delivery. Among the different methods, transcervical Foley catheter is one of them used with great success and less complications.Objective: This study assesses the effect of intra-cervical Foley catheter in induction of labor in post dated pregnancy.Methodology: This was a descriptive observational study. Patients admitted in antenatal ward of BP Koirala Institute of Health Sciences (BPKIHS) with period of gestation (POG) ≥ 41 weeks without any complications were taken. Patients were induced either with Foley catheter or directly with misoprostol. Patients induced with Foley catheter were included in the study. Sixteen French Gauge Foley catheter was inserted intracervically and bulb was inflated with 40- 60 ml of distilled water and observed for 24 hours. If patient didn't go into labor after 24 hours with or without Foley expulsion, patient was reassessed and prostaglandin was used for further induction. Structured Pro forma was used for data collection and collected data was analyzed using SPSS software 11.5.Results: During the study period 353 patients were induced with intracervical Foley catheter. Among them 97(27.48%) went to labor and 256 (72.52%) needed further prostaglandin. Among 97 patients who went to labor 80 had normal vaginal delivery, 16 underwent cesarean section and one patient had vacuum assisted vaginal delivery. There were nine patients who had delivered baby with meconium stained liquor. Four patients had postpartum hemorrhage and two patients had intrapartum fever. None of the patients had hyper stimulation syndrome but one patient had still birth.Conclusion: Intracervical Foley catheter is one of the options to induce the patient in postdatism for priming the cervix to increase the rate of normal vaginal delivery with less complications.BJHS 2018;3(1)5 : 338-341

scholarly journals Induction of labour after 37 weeks of pregnancy using foley’s catheter: traction versus non-traction method

2020 ◽  
Vol 10 (1) ◽  
pp. 275
Author(s):  
Jaydeep J. Bhatu ◽  
Disha Patel
Keyword(s):  
Pregnant Women ◽  
Vaginal Delivery ◽  
Controlled Trial ◽  
Foley Catheter ◽  
Mode Of Delivery ◽  
Induction Of Labour ◽  
Labour Induction ◽  
Unfavourable Cervix ◽  
Foley’S Catheter ◽  
Traction Group

Background: Cervical Foley’s catheter used now a days for induction of labour alone as well as a combined with cerviprim gel. The objective of the study was to assess the effectiveness of 750 cc traction on Foley catheter with no traction for labour induction in >37 weeks pregnancy.Methods: A randomized controlled trial performed on pregnant women at >37 weeks who were admitted for induction of labour with unfavourable cervix. They were randomly assigned into two groups, Foley’s with 750 cc traction and without traction. The primary outcomes were improvement in Bishop Score, number of favourable cervix following induction and the mode of delivery. The secondary outcomes were neonatal outcome, and maternal infection.Results: A total of 80 pregnant women were randomized into traction group (n=46) and non-traction group (n=34). Traction group had significantly (p=0.0462) higher number of vaginal delivery compared to non-traction group. Participants were comfortable using both methods. There was no difference in neonatal outcomes and risk of maternal infections in both groups.Conclusions: Application of traction did result in more vaginal delivery.

scholarly journals A comparative study of vaginal misoprostol, dinoprostone gel, foley catheter, extra amniotic saline infusion along with vaginal misoprostol for induction of labor at term

2020 ◽  
Vol 9 (9) ◽  
pp. 3683
Author(s):  
Ektha M. Shetty ◽  
Asha Neravi
Keyword(s):  
Cesarean Section ◽  
Vaginal Delivery ◽  
Foley Catheter ◽  
Induction Of Labor ◽  
Saline Infusion ◽  
Bishop Score ◽  
Number Of Patients ◽  
Misoprostol Group ◽  
Nicu Admission ◽  
Vaginal Misoprostol

Background: Objective of this study was to study the effect of vaginal misoprostol, dinoprostone gel, foley catheter, extra amniotic saline infusion along with vaginal misoprostol for induction of labor at term on maternal and fetal outcome.Methods: A one-year prospective observational study was conducted in the department of obstetrics and gynecology, SDM College of Medical Science and Hospital, Dharwad. Totally 100 postdated primigravida women with singleton gestation, vertex presentation and intact membrane who were induced with any four methods of induction 1) Tab. misoprostol 25 µg vaginally, 2) Intracervical dinoprostone gel, 3) Foley catheter and 4) Extra amniotic saline infusion along with tab. misoprostol 25 µg vaginally with 25 patients selected in each group, by random allocation technique and included in the study. Outcome measures analysed were the demographic profile, bishop score, induction to delivery interval, mode of delivery, maternal and fetal complications. Statistical analysis was done using SPSS 17 software.Results: Mean induction delivery interval was significant between PGE1 versus foley group (p=0.0034). In this study, 60% patients in dinoprostone group had Vaginal delivery and 72% in the EASI + misoprostol group underwent cesarean section (p=0.0372). NICU admission was maximum with EASI + vaginal misoprostol group and minimum with vaginal misoprostol alone.Conclusions: The groups were comparable with respect to maternal age, bishop score and fetal weight. The vaginal misoprostol group had shortest induction delivery interval. The maximum number of patients in dinoprostone gel group underwent vaginal delivery with a highest cesarean section and NICU admission with the EASI + misoprostol group.

scholarly journals Comparative study of vaginal misoprostol and intra cervical Foley’s catheter for pre-induction cervical ripening at term

2017 ◽  
Vol 6 (4) ◽  
pp. 1283
Author(s):  
Meghna Agarwal ◽  
Varsha Kose
Keyword(s):  
Pregnant Women ◽  
Vaginal Delivery ◽  
Foley Catheter ◽  
Cervical Ripening ◽  
Catheter Group ◽  
Misoprostol Group ◽  
Group 2 ◽  
Vaginal Misoprostol ◽  
Foley’S Catheter ◽  
Group 1

Background: At times of unfavorable cervix induction of labor with cervical ripening agents were necessary. The present study was done to compare the efficacy and outcome of vaginal misoprostol and Foleys catheter in pregnant women for induction of labor.Methods: This randomized clinical trial was performed on 10o pregnant women during a time period of December 2014 to November 2016. These women were randomly divided into two groups: Misoprostol (50 patients) and Foley catheter (50 patients). For the first group, 25 mcg vaginal misoprostol was administered every 4 h up to maximum of 3 doses for a period of 12 hours. For the second group, Foley catheter 18 F, was placed through the internal os of the cervix. Data was analyzed using SPSS software 20. p <0.05 was considered statistically significant.Results: The mean age of the patients in Group 1 was 24.72±2.93 years and Group 2 was 24.12±2.88 years. Pre-induction & post-induction modified Bishop score was significantly higher in Group 1 (Misoprostol) as compared to Group 2 (Foley's catheter) in primigravida and multigravida patients. The difference in the birth weight and Apgar score at 1 min and 5 min between the two groups was statistically not significant (p>0.05). The rate of vaginal delivery was significantly more in Misoprostol group as compared to Foley’s catheter group (p<0.05). The caesarean section rate was more in Foley’s catheter group as compared to Misoprostol group and the results were statistically significant (p<0.05).Conclusions: It was concluded that misoprostol decrease the delivery time and increases the vaginal delivery compared to Foleys catheter.

scholarly journals A Randomized Controlled Trial of Extra-amniotic Saline Infusion vs Intracervical Dinoprostone Gel for Induction of Labor

2017 ◽  
Vol 1 (1) ◽  
pp. 11-17
Author(s):  
Steffi V Rodrigues ◽  
MK Swamy ◽  
Namrata Jadhav
Keyword(s):  
Randomized Controlled Trial ◽  
Birth Weight ◽  
Vaginal Delivery ◽  
Controlled Trial ◽  
Induction Of Labor ◽  
Saline Infusion ◽  
Cervical Ripening ◽  
Randomized Controlled ◽  
The Mean ◽  
Foley’S Catheter

ABSTRACT Background Success of induction depends largely on cervical ripening and increases the likelihood of vaginal delivery. This study compared the outcomes for induction of labor using extra-amniotic saline infusion (EASI) vs intracervical dinoprostone gel. Objective: Primary: To compare improvement between pre- and post-induction Bishop’s scores in both the groups. Secondary: To compare induction to delivery interval, mode of delivery, and neonatal outcome in both the groups. Materials and methods A randomized controlled trial of 1 year was conducted in the Department of Obstetrics and Gynaecology, Karnataka Lingayat Education University Dr Prabhakar Kore Hospital and Medical Research Centre, Belagavi, Karnataka, India, on 82 pregnant women from January 2014 to December 2014. The selected women were divided into two groups of 41 each as group I (induced with dinoprostone) and group II (induced with EASI using Foley’s catheter). Results Significantly higher number of women had postinduction Bishop’s scores between 9 and 12 in the dinoprostone group (70.73%; p < 0.001). The mean Bishop’s scores were significantly high in the dinoprostone gel (9.27 ± 3.07) vs EASI (8.22 ± 2.34; p = 0.086). Cervical ripening based on cut-off score of ≥6 was noted in a significantly higher number of women (92.68%) in EASI (p = 0.241). The mean time for cervical ripening was significantly high in dinoprostone gel group compared with EASI (15.44 ± 8.41 vs 3.88 ± 3.67; p < 0.001), but mean induction to delivery time was comparable (p = 0.086). Significantly higher numbers of vaginal deliveries were noted in dinoprostone group (91.43%; p = 0.001). The neonatal outcomes, i.e., birth weight, mean birth weight, appearance, pulse, grimace, activity, and respiration score at 1 and 5 minutes, and neonatal intensive care unit admission, were comparable (p = 0.570). Conclusion Dinoprostone gel and EASI using Foley’s catheter appear to be effective methods for cervical ripening and labor induction, but dinoprostone gel yielded significantly higher rate of vaginal delivery. How to cite this article Rodrigues SV, Swamy MK, Jadhav N. A Randomized Controlled Trial of Extra-amniotic Saline Infusion vs Intracervical Dinoprostone Gel for Induction of Labor. Int J Gynecol Endsc 2017;1(1):11-17

scholarly journals INTRA-VAGINAL MISOPROSTOL ALONE VS MISOPROSTOL IN COMBINATION WITH INTRA-CERVICAL FOLEY’S CATHETER FOR SECOND TRIMESTER ABORTION: A COMPARATIVE STUDY

2021 ◽  
Vol 10 (4) ◽  
pp. 3241-3243
Author(s):  
Megha bandil
Keyword(s):  
Success Rate ◽  
Pregnancy Termination ◽  
Effective Means ◽  
Foley Catheter ◽  
Second Trimester ◽  
Standard Regimen ◽  
Trimester Abortion ◽  
Percent Success ◽  
Vaginal Misoprostol ◽  
Foley’S Catheter

Pregnancy termination in the second trimester is riskier than in the first. The primary objective is to create a more effective means of termination while also reducing induction time. To compare the efficacy, safety, and acceptability of intra-cervical foley's catheter with vaginal misoprostol versus vaginal misoprostol for second-trimester pregnancy termination. This clinical study involved 400 pregnant women who were scheduled to have their pregnancy terminated between 13 and 22 weeks of pregnancy for any reason. The enrolled women were divided into two categories: Category I (Misoprostol category): intra-cervical Foley’s catheter inserted with a standard regimen of moistened misoprostol tablets (400 g) 4 hourly inserted vaginally to a maximum of 5 doses; Category II (Combined category): intra-cervical Foley catheter inserted with a standard regimen of moistened misoprostol tablets (400 g) 4 hourly inserted vaginally to a maximum of 5 doses 4 hourly intra-vaginal injections were employed. Misoprostol was retained in the posterior fornix, and the dose was repeated every 4 hours until the catheter was removed, or until a maximum of five doses had been administered. The mean induction to abortion interval in the misoprostol category was 15.38 + 1.25 hours and 8.25 + 2.25 hours in the combination category, which was statistically significant (p= 0.001). The misoprostol category had a 94 percent success rate, while the combined category had a 97 percent success rate. The use of a combined intra-cervical foley's catheter and vaginal misoprostol to end a pregnancy in the second trimester is a novel, safe, effective, and acceptable procedure.

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