Abstract
Background: Aim-The success of labor induction depends on the cervical status at the time of induction. Objective- For effective cervical ripening both foley catheter and a dinoprostone gel are used. The aim of this study was to compare the efficacy and safety of the intracervical Foleys catheter and dinoprostone gel in cervical ripening for successful induction of labor.
 Methods: It was a randomized controlled study conducted in the obstetrics department at SMS Medical College, Jaipur. 100 Women were enrolled with a bishops score <5with various indication for induction of labour. They intracervical Foleys catheter insertion and group B received Dinoprostone gel 0.5mg instilleted intracervical. Maximum of 2 doses dinoprostone gel could be administered 6 hours apart. Primary efficacy parameter was change in Bishops score as compared to baseline.
 Results: The groups were comparable with respect to maternal age, gestation age, indication of induction and initial Bishop's score. Both the groups showed significant change in the Bishop's score at 12 hr,8.02 ± 3.22 and 7.1 ± 4.48 in Foleys catheter and Dinoprostone gel, respectively, But p value was not statistically significant(0.242).
 Conclusion- This study shows that both Foleys catheter and Dinoprostone are equally effective in cervical ripening.
Highlights
Induction of labor is a common procedure in obstetrics
The aim of this study was to compare the efficacy and safety of the intracervical Foleys catheter and dinoprostone gel in cervical ripening for successful induction of labor
It was a randomized controlled study conducted in the obstetrics department at SMS Medical College, Jaipur
Summary
Induction of labor is a common procedure in obstetrics. It is usually performed when risk of continuing a pregnancy is more than benefit of delivery. Cervical ripening has got a close relationship with the success rate of delivery[1]. Cervical ripening refers to a process of preparing the cervix for induction of labor by promoting effacement and dilatation as measured by Bishop's score[2]. Induction of labour should be safe, simple and effective. The success of induction depends upon the consistency, compliance and configuration of cervix. It is predicted that patients with a poor Bishop score will have an unacceptably high rate of induction failure. A variety of methods, including mechanical and pharmacologic methods, are available for cervical ripening.[3]
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