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Objective:To compare the efficiency of Foleys catheter and Prostaglandin E2 pessary with ProstaglandinE2 alone in induction of labour in primigravidas Methodology:It was a randomized controlled trial, prospective study carried out in in the obstetrics and gynaecology department of District headquarters hospital Rawalpindi affiliated with Rawalpindi Medical University from 2016 to 2017. Sample size 200 (100 in each group).Group A(ICF +PG) and group B(PG).In Group A the ICF along with prostaglandin were simultaneously used.Data was stratified for age, gestational age, induction delivery interval, duration of labour, mode of delivery and maternal and fetalcomplications. Post stratification both groups were compared for efficacy by using chi-square test p-value < 0.05 was considered significant.Results:The parameters of maternal age gestational age, initial bishop score maternal and fetal complications were comparable in the two groups. The induction to delivery interval was seen to be less for group A as compared to group B(10.9 hours vs 13.4 hours). The number of doses required for ripening of the cervix were also less for group A than group B. The mode of delivery was spontaneous vaginal delivery in 70(69.3%) in group A whereas it was 55(55%) in group B (p-value <0.05) Caesarean section was done in 31% as compared to 9.3% for fetal distress in group A and B respectively(p value<0.05)Conclusion:It can be seen that there is a greater chance of vaginal delivery with the simultaneous use of Foleys catheter with PGE2 for induction of labour, in primigravida, as compared to PGE2 used alone. Moreover the disadvantages of prostaglandins can also be overcome by this method.
Rubaba Abid, Hasan Murtaza, Tabinda Khalid, Hamna Atta. (2020) Induction of labour in primigravidas with Foley’s catheter and prostaglandin E 2 tabletversus Prostaglandin E 2 tablet alone: a randomized control trial in a tertiary care hospital, Journal of the Society of Obstetrics and Gynaecologists of Pakistan , Volume-10, Issue-1.
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