TO STUDY INDUCTION OF LABOUR USING INTRACERVICAL FOLEYS CATHETER AND COMBINED FOLEYS CATHETER WITH PGE2 SINGLE DOSE
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Keywords
Induction Of Labour, Intracervical Foleys Catheter, PGE2
Abstract
Background: Various methods are employed to achieve labour induction, each with its unique advantages and considerations .This study focuses on the use of intracervical Foley's catheter, a mechanical method that has gained recognition for its effectiveness in cervical ripening and compares outcomes of induction of labour using intracervical foleys catheter and combined foleys catheter with pge2 single dose. By addressing these needs, this study aspires to contribute valuable evidence that can guide healthcare providers in making informed decisions regarding the induction of labour.
Materials and Methods: A Prospective Observational study with Study Period of Approximately One Year. Study Population of 100 antenatal patients admitted to the labor room of KCGMC and meeting the inclusion criteria were enrolled in the study, undergoing induction of labour using intracervical Foley’s catheter and a combined method of Foley’s catheter with a single dose of PGE2.
Results: There was a significant difference in the distribution of Bishop's scores recorded 12 hours post- induction, suggesting that PGE2 addition may influence Bishop's score outcomes, potentially affecting labor progression.Furthermore, while the average Bishop's score was slightly higher in the Foley's+PGE2 group,indicating enhanced cervical ripening with PGE2, the clinical significance of this difference requires further investigation. Additionally, the duration between induction and delivery was significantly shorter in the Foley's+PGE2 group, indicating more efficient induction progress with the combined method.However, the Foley's+PGE2 group showed a higher rate of augmentation requirement, suggesting the need for additional interventions with combined induction methods.
Conclusion: Overall, while PGE2 addition to Foley's catheter induction may offer certain benefits such as shorter induction delivery intervals and potentially improved cervical ripening, its impact on clinical outcomes and safety requires further investigation and consideration.
References
2. Navti, O. B. &Chilaka, V. N. Induction of Labor. Contemporary Obstetrics and Gynecology for Developing Countries: Second Edition 143–157 (2023) doi:10.1007/978- 3-030-75385-6_14.
3. Gu, N. et al. Foley Catheter for Induction of Labor at Term: An Open-Label, Randomized Controlled Trial. PLoS One10, (2015).
4. Eser, A. et al. Transcervical Foley balloon catheter and vaginal prostaglandin E2 insert combination vs. vaginal prostaglandin E2 insert only for induction of labor at term: a randomized clinical trial. Arch GynecolObstet299, 451–457 (2019)
5. Shetty, S. J., J C, S., Arpana, A. &Sathyanarayana, C. Comparative study of Foley’s catheter and prostaglandin E2 gel for pre-induction cervical ripening. Asian J Med Sci13, 112–117 (2022).
6. Deshmukh, V. L., Yelikar, K. A. & Deshmukh, A. B. Comparative Study of Intracervical Foley’s Catheter and PGE2 Gel for Pre-induction Ripening (Cervical). J ObstetGynaecol India61, 418 (2011).
7. Kanada, A. R. & Jain, M. A comparative study of intra-cervical foley’s catheter and PGE2 gel for induction of labour at term. Int J Reprod Contracept ObstetGynecol8, 3689 (2019).
8. Verma, S. & Gupta, R. Comparative Study between Intra Cervical Foleys Catheter and Pge2 Gel for Pre Induction Cervical Ripening 1. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN22, 20–23 (2023).
9. Alam, A. & Ahmed, E. A comparative study of intra-cervical foley’s catheter and PGE2 gel for pre-induction cervical ripening. Int J Reprod Contracept ObstetGynecol 2644– 2647 (2016) doi:10.18203/2320-1770.IJRCOG20162637.
10. Gonsalves, H. et al. Use of Intracervical Foley Catheter for Induction of Labour in Cases of Previous Caesarean Section: Experience of a single tertiary centre in Oman. Sultan Qaboos Univ Med J16, e445 (2016).
11. Dalui, R., Suri, V., Ray, P., gynecologica, I. G.-A. obstetricia et & 2005, undefined. Comparison of extraamniotic Foley catheter and intracervical prostaglandin E 2 gel for preinduction cervical ripening. Taylor &FrancisRDalui, V Suri, P Ray, I Gupta. Actaobstetricia et gynecologicaScandinavica, 2005•Taylor & Francis84, 362– 367 (2005).
12. Rajeswari, D. A. A Comparative Study of Intra-Cervical Foley’s Catheter and PGE2 Gel for Pre-Induction Cervical Ripening. journal of medical science and clinical research5, (2017).
13. Ziyauddin, F., Hakim, S., diagnostic, S. B.-J. of clinical and & 2013, undefined. The transcervical foley catheter versus the vaginal prostaglandin e2 gel in the induction of labour in a previous one caesarean section–a clinical study. ncbi.nlm.nih.gov. F Ziyauddin, S Hakim, S BeriwalJournal of clinical and diagnostic research: JCDR, 2013.
14. Sciscione, A. C. et al. A prospective, randomized comparison of Foley catheter insertion versus intracervical prostaglandin E2 gel for preinduction cervical ripening. Am J ObstetGynecol180, 55–59 (1999).
15. St. Onge, R. D. & Connors, G. T. Preinduction cervical ripening: A comparison of intracervical prostaglandin E2 gel versus the Foley catheter. Am J ObstetGynecol172, 687–690 (1995).
16. Kadu, N. A., Shiragur, S., Kadu, N. A. &Shiragur, S. Comparison of Intracervical Foley’s Catheter With Vaginal Misoprostol Versus Intravaginal Misoprostol Alone for Cervical Ripening and Induction of Labor. Cureus15, (2023).
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Dr Rashmi Yadav
Senior Resident, Department Of Obstetrics And Gynaecology, Kalpana Chawla Government Medical College, Karnal,Haryana
Dr Aarushi Chaudhary
Assistant Professor, Obstetrics And Gynaecology, Kalpana Chawla Government Medical College, Karnal,Haryana
Dr Archana Bharti
Associate Professor & Unit Head, Department Of Obstetrics And Gynaecology, Kalpana Chawla Government Medical College, Karnal, Haryana
Dr Isha Bansal
Associate Professor, Department Of Obstetrics And Gynaecology, Kalpana Chawla Government Medical College, Karnal,Haryana