Abstract

Objective: To compare the efficacy, safety and acceptability of Intracervical foley catheter, dinoprostone and misoprostol, for induction of labor in women with previous one cesarean section at term. Study design: A prospective quasi-randomised clinical trial included 90 term pregnant women who were randomly assigned to receive intracervical foley catheter, dinoprostone 3 mg tablets or misoprostol 25 µg tablets vaginally. Induction to delivery interval, outcomes of labor, maternal adverse effects and acceptability were assessed. Results: Successful vaginal delivery was comparable in the three groups; mean induction to delivery interval (h) was greater for dinoprostone group (20.10±2.62) than catheter (19.93±2.92) and misoprostol (18.76±2.47) groups (P>0.05). Oxytocin was more needed in the catheter group (23.3%) than in the dinoprostone (20%) and misoprostol (13.3%) groups (P>0.05). The cesarean rate was not significantly different among the three groups, but the main indications were different: failure to progress (44.5%) in the catheter group versus (50%) in dinoprostone group and non-reassuring FHR pattern (42.8%) in the misoprostol group with no major maternal complications reported.

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