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Objective: To compare frequency of mode of delivery and induction to delivery interval in women undergoing induction of labour with concurrent intracervical Foleys plus vaginal misoprostol versus vaginal misoprostol alone.
Methodology: It is a Randomized controlled trial conducted at MCH center,PIMS,Islamabad, Islamabad from 20th July 2016 to 19th January 2017. A total of 96 pregnant women of age group 18-35 years, with singleton cephalic fetus, were included and randomized into two groups: Group A (intracervical Foleys catheter plus vaginal misoprostol) & Group B (misoprostol alone), by using lottery method. In both cases, the mode of delivery and time taken from induction to delivery were recorded.
Results: Majority of the patients 68 (70.83%) were between 26 to 35 years of age,mean gestational age was 39.97 ± 0.85weeks Mean parity was 2.43 ± 1.22. There was a difference of 3.14 hours of induction to the delivery interval between the two groups which was statistically significant. Vaginal delivery was seen in 36 (75.0%) women in group A (intracervical Foleys catheter plus vaginal misoprostol) and in 26 (54.17%) women in group B (vaginal misoprostol alone) with p-value of 0.033
Conclusion: Concurrent use of Cervical Foleys and misoprostol is a simple, improved , cost-effective and safe regimen which results in higher vaginal deliveries rate and shorter induction to delivery time.
Sidra Gilani, Qurra-tul – Ain, Misbah Hanif, Syeda Batool Mazhar, Navaera Saeed. (2018) Concurrent Use of Intracervical Foleys Catheter Plus Vaginal Misoprostol Versus Vaginal Misoprostol Alone for Induction of Labour, Journal of the Society of Obstetrics and Gynaecologists of Pakistan , Volume-08, Issue-3.
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