Year : 2020 | Volume : 3 | Issue : 1 | Page : 8-13
Comparative study of pge2 gel versus Foleys catheter for induction of labour in women with unfavourable cervix
S Samra1, B S Dhananjaya2*
1Post graduate, 2 Professor & HOD, Department of Obstetrics &Gynecology, Sri Siddhartha Medical College Research Centre, SSAHE, Tumakuru.
Dr. B S Dhananjaya, Professor & HOD, Department of Obstetrics & Gynecology, Sri Siddhartha Medical College Research Centre, Tumakuru, Karnataka. India.
Background: Labour begins with cervical ripening, a process that employs prostaglandins to soften and dilate the cervix. Prolonged labour carries increased risk of operative deliveries, maternal and fetal morbidities. The success of induced labour depends on the consistency, compliance and configuration of the cervix, which is assessed by Bishops Score. Whenever the Bishops score is less, there is a need to ripe the cervix as well as we need an agent for uterine contraction. Pharmacological methods such as prostaglandins are used widely for cervical ripening but have their side-effects and complications. Mechanical approaches such as Foley’s catheter balloon, though useful has not been very popular because of infection. Therefore, the study is to compare the safety and efficacy of intra-cervical prostaglandin E2 (PGE2) gel with Foleys catheter. Materials and Methods: The sample size was 100 and women were divided equally into group 1 (PGE2 gel) and group 2 (Foleys catheter) after fulfilling inclusion and exclusion criteria. Results: Both the groups showed a significant change in the post-induction Bishop's score; which was better with Foleys catheter than PGE2 gel group. Higher incidence of side effects noted in group 1. The induction to the delivery interval was 14.3± 2.2 hours in group 1 and 12.18±2.58 hours in group 2 (p=0.02). Augmentation of labour needed in both groups, but the duration was higher in PGE2 group. However, maximum women delivered by vaginal route. Neonatal outcomes showed no significant difference between the two groups.
Keywords: Induction of labour, PGE2 gel, Foley's catheter, unfavourable cervix
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Tumakuru, Karnataka, India. 572107
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