A comparative study of intrauterine foleys catheter with or without extra amniotic saline infusion (EASI) for cervical ripening and induction of labour
Journal Title: Medpulse International Journal of Gynaecology - Year 2017, Vol 3, Issue 3
Abstract
Materials and Methods: A two year study was conducted at Yenepoya medical College Hospital Derelakatte Mangalore. Study evaluated fifty women presenting for induction of labour with Bishops score less than five. All were 18 years of age or older with singleton pregnancy at or beyond 37 completed weeks of gestation. All women had a 16F Foleys catheter inserted through the cervix into the lower uterine segment. The bulb was inflated with a 60ml of normal saline, the Foleys was left in place for 10-12 hours unless membranes ruptured or it fell off spontaneously. 25 out of the 50 women had 200ml normal saline infused through catheter through the distal port. Results: All 50 showed Bishops score above 6 after a minimum of 10 hours. The average time for induction to vaginal delivery was similar in both groups (17.2 hours in Foleys and 16.8 hours in EASI), ( p value <0.5). There was no statistically significant difference between two the two groups in change of BISHOP score, however each individually improved the BISHOP score significantly. Caesarian rates was almost similar- 33% in Foleys and 36% in EASI (p<0.5). Neonatal outcomes (APGAR) was 9 in both groups. No incidence of chorioamnionitis or any other side effects seen in both groups. Conclusion: Both Foleys induction with or without EASI are safe and effective method of cervical ripening and induction with no side effects. In women with unfavourable cervix, addition of EASI does not improve the efficacy of labour induction
Authors and Affiliations
Sharon Deepthi Rasquinha, Richard Santosh Martis, Victor Rasquinha
Keywords
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