International Journal of Medicine Research

International Journal of Medicine Research


International Journal of Medicine Research
International Journal of Medicine Research
Vol. 5, Issue 1 (2020)

Comparision of sequential use of in tracervical foley’s catheter and misoprostol versus misoprostol alone for induction of labour in primigravida


Dr. Sarada Devi Bosukonda, Dr. Bhavya HU, Dr. Ravikanth GO, Dr. Geeta J Doppa, Dr. Lakshmi Lalitya M

Introduction: Induction of labor is a commonly practiced intervention in modern obstetrics. The present study aims to evaluate comparative outcome of induced labour by intracervical Foley’s catheter and misoprostol versus misoprostol alone. The objective of the study is to assess the induction-delivery interval, mode of delivery, caesarean section rate, maternal and neonatal outcome. Materials and Methods: The study included 60 women with singleton full term pregnancy, with cephalic presentation and intact membranes, bishop score <6, reactive NST prior to induction and no obstetric complications. The participants were randomly divided into 2 groups of 30 each. A detailed history was taken. Complete general, systemic and per abdominal examination was performed. Per speculum and per vaginal examination was done. Cervix was assessed using modified Bishop score. Those in group1 were induced sequentially with intracervical Foley’s catheter and misoprostol. Those in Group2, were induced with intracervical 50mcg misoprostol alone under aseptic precautions. Modified bishop score was assessed after 4hours and if required reinsertion of 25mcg misoprostol was done for a maximum of 3 doses every 4hours. Results: The mean induction-delivery interval was shorter in group1 compared to group2 by 3hours. Higher percentage of patients in group1 had spontaneous vaginal delivery. Caesarean section rate, ventouse delivery rate, incidence of fetal distress and rate of NICU admission was more in group2. There was no much difference in APGAR scores and birth weight in between the two groups. Conclusion: The outcome of combination of intracervical Foley’s catheter and misoprostol is superior over misoprostol alone for labor induction, without affecting maternal or perinatal outcome.
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How to cite this article:
Dr. Sarada Devi Bosukonda, Dr. Bhavya HU, Dr. Ravikanth GO, Dr. Geeta J Doppa, Dr. Lakshmi Lalitya M. Comparision of sequential use of in tracervical foley’s catheter and misoprostol versus misoprostol alone for induction of labour in primigravida. International Journal of Medicine Research, Volume 5, Issue 1, 2020, Pages 13-16
International Journal of Medicine Research International Journal of Medicine Research