Observational study comparing cervical ripening and induction of labour with intravaginal Misoprostol against transcervical Foley’s catheter
Journal Title: Journal of Advanced Medical and Dental Sciences Research - Year 2018, Vol 6, Issue 6
Abstract
Background: In the recent decade, there has been a considerable increase in the rate of labour induction. Achievement of a vaginal delivery for a woman who requires induction of labour may be among the greatest challenges facing obstetricians today. Aim of the study: To compare cervical ripening and induction of labour with intravaginal Misoprostol and transcervical Foley’s catheter as their safety and efficacy in clinical practice as an induction agent is concerned. Materials and methods: In the study, 100 patients were observed, who had undergone induction of labour. Out of 100 patients, 50 patients were induced with intravaginal misoprostol and 50 with transcervical Foley/s catheter. The decision of induction was taken by the concerned obstetrician, depending on the indication and Bishop score and the assessment of pelvic adequacy and excluding the patient for home vaginal delivery was contraindicated. Results: The study showed that there was no difference in the demographic characteristics of the two groups. The age distribution being in the same among two groups. One patient induced with vaginal Misoprostol, G2MTP1, 39. 2 weeks of gestation included in view of cholestasis in pregnancy develop uterine hyperstimulation (>6 contractions in 10 minutes associated with non-reassuring fetal heart pattern) with one dose of vaginal Misoprostol and required Cesarean Section. Baby had one-minute APGAR score of 9. Out of 100 babies born, 92 had one-minute Apgar score as >7 and only 8 had Apgar score <7 at 1 min. Severe birth asphyxia with very low Apgar scores less than 3 was not seen in the study does. Conclusion: Thus, when used rationally and with a good quality of intrapartum monitoring, bith Foley’s catheter and Misoprostol are equally efficacious and safe for labor induction.
Authors and Affiliations
Raviraj P Gondkar, Saubhagya Bhajantri, K R Damania
Keywords
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