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Comparative Studies | Gynaecology | India | Volume 13 Issue 4, April 2024 | Rating: 4.8 / 10
Comparison of Efficacy of Foley's Catheter and Intracervical Prostaglandin E2 Gel for Improving Induction of Labour in Tertiary Care Hospital
Dr Neha Patel | Dr Maya Arvikar
Abstract: Background: Induction of labor is a crucial and customary clinical procedure in obstetrics. It is arguably one of the most abused procedures. Cervical ripening determines the success of delivery. The availability of newer oxytocics and induction techniques which are simpler and also more predictable has significantly modified our traditionally conservative attitude toward induction of labor. Aims and Objectives: The objective of this study was to determine the effectiveness of Foleys catheter against prostaglandin E2 (PGE2) gel for pre-induction cervical ripening. Materials and Methods: Women attending hospital for induction of labor, with a Bishop?s score <6, were allocated randomly to Foley?s group (Group F) and PGE2 gel group (Group P). Fifty women were allocated to Foley?s group (Group F) and 50 were allocated to gel group (Group P). Results: Improvement in Bishop score was more in the PGE2 gel group when compared with the Foley?s balloon dilatation group P value <0.05. Mean induction to labour interval was shorter in the PGE2 gel when compared to the Foley?s balloon dilatation group P value <0.05. Mean induction to delivery interval was also shorter in the PGE2 gel group when compared with Foley?s balloon dilatation. P value <0.05. Conclusion: Cervical ripening more effective with prostaglandin E2 gel application. Mean induction to active labour interval and mean induction to delivery interval were shorter with prostaglandin E2 gel instillation.
Keywords: Foley's catheter, Induction of labour, Prostaglandin E2 gel
Edition: Volume 13 Issue 4, April 2024,
Pages: 374 - 378