Abstract

"OBJECTIVES: To compare the efficacy and safety of intravaginal misoprostol with transcervical foley catheter for cervical ripening. MATERIAL AND METHODS: The present study was a prospective study and was conducted in the Department of Obstetrics and Gynaecology in collaboration with the Department of Paediatrics, J.N.M.C.H., A.M.U., Aligarh during 2013-2014 after getting approval from Institutional Ethics Committee. One hundred and four women with term gestation, with Bishop score < 4 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, inflated with 50 cc of sterile saline , was placed through the internal os of the cervix. Statistical analysis was done using SPSS software. RESULTS: Two groups were similar in view of their demographic characteristics. The induction to delivery interval (mean ± SD) in women induced with intravaginal misoprostol was 14.03 ± 7.61 hours of transcervical Foley catheter was 18.40 ± 8.02 hours. Misoprostol is associated with a shorter induction to delivery interval. The rate of vaginal delivery was 76.7% Vs 56.8% in misoprostol and Foley catheter group respectively which was significantly higher in misoprostol group (p"

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