Objectives: To compare the efficacy and
safety of intravaginal misoprostol with transcervical Foley catheter for labor
induction. Materials and Methods: One hundred and four women with term
gestation, with Bishop score<4 and with various indications for labor
induction were randomly divided into two groups. In Group I, 25 g 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 (< 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 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 labor.
Author(s) Details
Nasreen
NoorDepartment of Obstetrics and Gynaecology, Jawaharlal Nehru Medical College (JNMCH), Aligarh Muslim University (AMU), Aligarh (U.P.) 202002, India.
Dr. Mehkat Ansari
Department of Obstetrics and Gynaecology, Jawaharlal Nehru Medical College (JNMCH), Aligarh Muslim University (AMU), Aligarh (U.P.) 202002, India.
Dr. S. Manazir Ali
Department of Pediatrics, Jawaharlal Nehru Medical College (JNMCH), Aligarh Muslim University (AMU), Aligarh (U.P.) 202002, India.
Dr. Shazia Parveen
Department of Obstetrics and Gynaecology, Jawaharlal Nehru Medical College (JNMCH), Aligarh Muslim University (AMU), Aligarh (U.P.) 202002, India.
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