Randomized Control Study of Foley bulb and Vaginal Misoprostol Compared with Vaginal Misoprostol Alone in Induction of labour Ashwini M N1, Kamatar Saroja C2,*, Mann Deepika3 1Associate Professor, Department of Obstetrics and Gynaecology, J J M Medical College, Davangere, Karnataka 2Assistant Professor, Department of Obstetrics and Gynaecology, J J M Medical College, Davangere, Karnataka 3Senior Resident. (OBG), Department of Obstetrics and Gynaecology, J J M Medical College, Davangere, Karnataka *Corresponding Author: Dr Saroja C Kamatar Assistant Professor Department of Obstetrics and Gynaecology, J J M Medical College, Davangere-577004. Karnataka Mob.: 09886710853 E-mail: davangerenetralaya@gmail.com, saroja.kamatar7@gmail.com
Online published on 5 May, 2018. Abstract Purpose To test the hypothesis that the use of Foley bulb and vaginal misoprostol will result in shorter induction to delivery time compared to vaginal misoprostol alone. Methods A prospective evaluation of women attending labor room in hospitals attached to J.J.M. Medical College, Davangere. 100 patients were enrolled, 50 in each group. Vaginal misoprostol only group (Group A) received 25μg of misoprostol every 4 hours (maximum 6 doses). Once the cervix became favorable or patient was in active labor, misoprostol was discontinued. The combination group (Group B) received vaginal misoprostol 25μg every 4 hours. In addition, a Foley bulb was inserted through internal cervical os filled with 50 ml of normal saline. Other aspects of labour management were similar for both groups, including continuous electronic fetal monitoring. Results The mean induction to delivery time was shorter with the combination of Foley bulb and vaginal misoprostol when compared to vaginal misoprostol alone (7.32±3.26 hours vs 12.19±7.22 hours). Caesarean sections were more in misoprostol group as compared to combination group (10% vs 4%). Labor complications or adverse neonatal and maternal outcomes were less with combination group. Conclusion A combination of Foley bulb and vaginal misoprostol resulted in a shorter induction to delivery time when compared with vaginal misoprostol alone without increasing any labor complications. Top Keywords Induction, Cervical ripening, Foley catheter, Misoprostol. Top |