INDUCTION OF LABOUR- A COMPARITIVE STUDY BETWEEN VAGINAL MISOPROSTOL ALONE AND VAGINAL MISOPROSTOL AND TRANSCERVICAL FOLEY CATHETER COMBINATION

Abstract

Introduction- High risk pregnancy forms the area of expertise for obstetricians. While dealing with high such high risk cases, obstetricians come across many such conditions and complications when induction of labour in not only indicated, but forms the cornerstone of management.Methods- In current study, we studied 72 patients. Out of those, 36 patients were randomly allocated to group A and 36 to group B. For group A only vaginal misoprostol was used as method of induction. For group B patients were induced by foley catheter inserted transcervically with vaginal misoprostol. There was no difference between age, gestestional age, pre induction bishop score etc. Results-The majority indications for inductions of labour were post dated pregnancy, PIH, oligohydroamnios or the combination of above. Both the groups were comparable in terms of indication for induction of labour Out of the 36 cases induced in each group, number of misoprostol tablet used (25 microgram ) was more in group A than in group B, and this difference was significant. Group A and B showed higher increment in bishop score after starting the procedure. This result was statistically significant. Induction to delivery time was significantly reduced in combination group. The incidence of use of oxytocin was similar in both groups. 70 Both groups had similar rates of vaginal delivery and ceserean section. Both groups had comparable outcome with indication for caesarean section and there was no significant difference. Incidence of maternal complications was similar in both groups. Group A had more number of patients who had tachysystole with foetal heart rate changes, but this was not statistically significant. Conclusion- There is need for large scale multicentre trial to know which method of induction is better, taking into account all the outcomes proposed.