Foley's Catheter With or Without Misoprostol in Induction of Labor: Randomized Double Blind Control Study

Document Type : Original Article

Authors

1 Department of Obstetrics & Gynaecology, Faculty of Medicine - Ain Shams University

2 Department of Obstetrics & Gynaecology, Faculty of Medicine - Ain Shams University

Abstract

Background: Labor induction is the initiation of labor at a viable pregnancy duration by artificial means, and occurs before the spontaneous onset of labor. The goal of labor induction is to achieve a timely and uncomplicated vaginal delivery with minimal adverse effects on the mother or newborn.
Aim: This study aimed to compare the efficacy of the use of Foley’s catheter with either misoprostol or placebo to improve induction to delivery interval in women with unfavorable cervix undergoing induction of labor.
Materials and Methods: The present study is a randomized double blind controlled study that that was conducted at Maternity Hospital of Ain-Shams University. The study included 100 candidates on 4 equal goups :50 nulliparas randomized into 2 groups and 50 multiparas randomized into 2 groups. Each group underwent labor induction by Foley's catheter and Misoprostol or placebo.
Results: Labor stages were significantly shorter in combined group than in Foley's group, but no significant difference in third stage. Oxytocin duration and total dose were significantly lower in combined group. No significant difference among studied groups regarding mode of delivery or fetal or maternal complications.
Conclusion: Combined Foleys catheter and misoprostol provides a shorter duration of cervical ripening, less oxytocin required with no added complications compared to Foley’s catheter alone.

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Evidence Based Women's Health Journal
Volume 11, Issue 1
February 2021
Pages 33-44

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