Thursday 30 June 2022

Induction of Labour –Foleys Catheter Vs Dinoprostone Gel: A Randomized Controlled Trial | Chapter 4 | Current Practice in Medical Science Vol. 3

The effectiveness of labour induction depends on the cervix's level of ripening, which may be measured objectively using Bishop's cervical ripening score. For the purpose of assessing success rates, active labour and delivery times, maternofoetal outcomes, and cost effectiveness, authors monitor the Bishop Score change after 12 hours of labour induction. The sample size for this randomised controlled clinical study was 152, including 76 participants in each group. Women who received dinoprostone gel saw a substantial shift in Bishop score, with a mean score of 7. Since Foley's group's labour was longer and required more oxytocin augmentation for a longer period of time, they had a higher chance of foetal distress. Dinoprostone gel, albeit more expensive than Foley's catheter in terms of labour expenses, eventually proven to be just as cost-effective for patients due to quicker labour induction, greater rates of vaginal deliveries, and therefore shorter hospital stays.


Author(s) Details:

Nivedita Reshme,
Department of Obstetrics and Gynecology, M. S. Ramaiah Medical College and Hospital, Bangalore, Karnataka, India.

Rajnish Samal,
Department of Obstetrics and Gynecology, Bangalore Baptist Hospital, Bangalore, Karnataka, India.

P. Padmaja,
Department of Obstetrics and Gynecology, Bangalore Baptist Hospital, Bangalore, Karnataka, India.

S. Shalini,
Department of Community Medicine, M. S. Ramaiah Medical College and Hospital, Bangalore, Karnataka, India.

K. Radhika,
Department of Community Medicine, M. S. Ramaiah Medical College and Hospital, Bangalore, Karnataka, India.

No comments:

Post a Comment