Comparative Study Of Pre- Induction Cervical Ripening With Foley And Dinoprostone

ABSTRACT

Background: To compare the efficacy for pre–induction cervical ripening with Foley catheter vs PGE2 in elective induction Materials and Methods: The study group consisted of 100 antenatal women admitted for safe institutional delivery and who required pre–induction cervical ripening. Labour was induced in 50 women with Foley catheter and remains 50 women with similar inclusion criteria with 0.5gms Dinoprostone gel and efficacy of both method is compared. Results: The induction to vaginal delivery interval in the Foley group was 9.8hrs and 12.5hrs with the Dinoprostone group. Rate of vaginal deliveries was 78% in Foley group and 64% in Dinoprostone group respectively. Caesarean delivery rate was 22% and 36% in Foley group and Dinoprostone group respectively maternal side effects tachysystole, vomiting, diarrhoea, post pasture haemorrhage higher with Dinoprostone groups. Conclusions: Foley catheter I safer, easier, cheaper, effective method of pre–induction cervical ripening.