Induction of labour; use of extra amniotic catherter in cases of previous caesarean section

ABSTRACT

Delivery in cases of previous caesarean section calls for strict trial of the scar and usually ends up as repeat caesarean section, but this is not favoured by the patient if the outcome is going to be gloomy in the form of dead baby. AIMS AND The study was carried out to see the results with a new technique where extra amniotic Folly's catheter was used to induce the labour achieving vaginal delivery in such cases. MATERIAL AND PATIENTS All the patients had IUD at various gestational ages and one previous caesarean section for non recurrent cause. The Folly's catheter was introduced extra amniotically for induction of labour. Oxytocin infusion was started after the catheter expulsion to augment the labour. The uterine response was monitored and the dose of oxytocin increased accordingly. Vaginal delivery was achieved in all the cases. There was no serious untoward complication. CONCLUSION AND SUGGESTIONS Thus this small study shows that extra amniotic catheter is effective and safe in the presence of one caesarean section. Further studies are requested at other centers to reach a significant conclusive result: