ABSTRACT
Background: Any time before labor that termination of pregnancy is better than keeping pregnancy for both mother and fetus, it is an indication for induction of labor
The condition of cervix is the most important factor for labor induction. Cervical condition, In many cases that candidate for induction of labor before labor pain, is poor
As the cervical ripening is quite important for success of labor induction
This study is attempting to compare two methods of cervical ripening
Methods: During this clinical study, 100 patients admitted in Ahwaz Imam Khomeini Hospital from 2010 to 2011. All of these patients had BISHOP score bellow 5, were divided to two groups for cervical ripening. Group one: trans cervical catheter and group two: laminaria. After placing transcervical foley catheter and laminaria for patient induction with oxytocin was started according to classic protocol
Then the time lapse from the beginning of induction to enter the active phase of labor and also from start of induction till delivery and appearing the side effect in both group was assessed
The result was analysed by SPSS 16 program
Results: Fifty three of patient [53%] were primiparous and the rest 47 [47%] were mul-tiparous. All of them had bishop score bellow 5
The average age for the patient group 1 was 27.1 and the average age for other group was 27.18. The time lapse from start of induction to enter active phase of labor in first group was 5.7+/-2.67 hours and this time for 2[nd] group was 7.51+/-2.33 hours. Also the time interval between the start of induction and delivery in group 1 was 10.3+/-4.35 hours and this time for group 2 was 12.5+/-4.9 hours. In both cases there was meaningful difference between two groups. There was no difference between both group for appearing the side effects
Conclusion: Based on this study, it seems using trans- cervical catheter for cervical ripening and aid to successful induction of labor is beneficial