A Comparative Study Of Efficacy Of Intracervical Prostaglandin E2 Gel And Intracervical Foley’s Catheter For Pre- Induction Cervical Ripening

Abstract

Induction of labour with the aim of achieving vaginal delivery has become a routine practice. The successful outcome of induction of labour depends upon the state of cervix. Aims and objectives: The aim of this study is to compare the safety and efficacy of intracervical PGE2gel and intracervical foley's catheter in pre-induction cervical ripening and to evaluate the cost-effectiveness and reliability of these methods Study design: A randomized prospective study was conducted in the department of obstetrics and gynaecology in Government General hospital, Vijayawada. One hundred antenatal women at term were randomly allocated to two groups to receive intracervical foley's catheter and prostaglandin E2 gel. Bishop's score is assigned before induction and reassigned after 6 hrs. Labour was augmented if required. Results : Statistical analysis was done using chi-square and t-test. The parameters observed were improvement in Bishop's score, (8.62+ 1.563 in foley's catheter and 8.68+1.69 in prostaglandin E2 gel groups), the mean induction delivery interval (foley's group is 18.49+6.59 hrs and in prostaglandin E2 gel group is 17.6+6.52) hrs. The difference in mode of delivery, apgar score in both the groups is not statistically significant at p value >0.05