A comparative study of intra-cervical foley's catheter and PGE2 gel for pre-induction cervical ripening

Alam, Anjuman; Ahmed, Eyaqub Ali

doi:10.18203/2320-1770.ijrcog20162637

Cited by 4 publications

(5 citation statements)

References 7 publications

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“…These finding were consistent with those of Dileep P et al and Penagaluru Radha et al but contrary to the findings of Gayatri Mathuriya et al, where Dinoprostone group had significantly more minor complications [12-13-16] . Neonatal outcome did not differ significantly in our study between the two groups, similar to the studies by Anjuman et al and Krishna et al [14][15][16][17] a study by Penagaluru Radha et al showed more NICU admission in Dinoprostone group [13] .…”

Section: Discussionsupporting

confidence: 90%

Role of intracervical foley's catheter as pre-induction cervical ripening agent in reducing rate of primary caesarean section

Malakar¹,

Sahoo²,

Mehrotra³

et al. 2019

Int. J. Clin. Obstet. Gynaecol.

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Induction of labour may be required for various maternal or foetal reasons at times in the presence of poor Bishop's scoring. Cervical ripening is beneficial in these situations. A randomised comparative analysis was carried out using intracervical Foleys catheter instillation followed by a single dose of dinoprostone gel if required in one group and only dinoprostone gel for ripening in other group. Maternal and neonatal complications, mode of delivery and induction-delivery interval were assessed. We found a higher vaginal delivery rate of 82% in the first group in comparison to 64% in the other group. The difference was statistically significant (p=0.0426). Though a longer induction-delivery interval was observed in the first group, the maternal and foetal outcomes were similar. Intracervical Foley's catheter instillation when used for cervical ripening in unfavourable cervices, either alone or sequentially with dinoprostone gel can significantly reduce the Primary Caesarean section rate without compromising maternal and neonatal safety.

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Section: Discussionsupporting

confidence: 90%

Role of intracervical foley's catheter as pre-induction cervical ripening agent in reducing rate of primary caesarean section

Malakar¹,

Sahoo²,

Mehrotra³

et al. 2019

Int. J. Clin. Obstet. Gynaecol.

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“…Other studies have reported average increase in cervical ripening in the Foleys catheter group by 5.1 scores which is lesser than our study. 11,12 The observed discrepancy may be related to the amount of water used for dilation of catheter, which was only 30 ml in contrast to 60 ml in our study. A randomized controlled trial designed to compare the rates of success with respect to volume of inflation also states that a higher volume of water used to inflate catheter increases the chances of obtaining a favourable cervix.…”

Section: Discussioncontrasting

confidence: 81%

“…Similar results with respect to foetal safety were obtained in other studies comparing dinoprostone with Foleys catheter for cervical ripening. 11,18 Comparison of cost of incurred in the two groups showed that cost of one prefilled syringe of dinoprostone is 260.50 and Foleys catheter varies from Rs 9 per piece to rupees 260 per piece. The Foleys balloon catheter used for this study costs rupees 55 per piece.…”

Section: Discussionmentioning

confidence: 99%

Intracervical foleys catheter: Can it serve as an alternative to standard pharmacological method of cervical ripening?

Murthy

Teje

2017

Int J Basic Clin Pharmacol

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Background: Ripening of cervix is a prerequisite for successful labour induction. Use of prostaglandins for this purpose incurs a high risk of uterine hyperstimulation and a relatively higher cost of treatment. intracervical Foleys catheter insertion is a mechanical method stated in literature. The present study was to compare the efficacy and safety and cost of intracervical Foleys catheter balloon insertion with intracervical dinoprostone application for preinduction cervical ripening in patients requiring labour induction at term.Methods: This was a randomized, parallel group, active controlled study conducted in the obstetrics department of a tertiary care centre over a duration of one year. Group A received Dinoprostone cervical gel 0.5mg instilled in the cervical canal. Maximum of three doses (1.5mg dinoprostone) could be administered 6 hours apart. Patients randomized to group B were subjected to Foleys catheter insertion. Foleys catheter number 16 was used and balloon was inflated with 60ml of water. Primary efficacy parameter was change in Bishops score as compared to baseline and safety was monitored by comparing the total number of adverse events in the two groups.Results: Total of 89 patients were enrolled into the study during one year period out of which 45 received dinoprostone gel and 44 received Foleys catheter insertion respectively. Change in Bishops score, mode of delivery and total number of maternal and foetal adverse events did not differ significantly between the two groups.Conclusions: Efficacy and safety of Foleys catheter as a cervical ripening agent prior to induction of labour is comparable to dinoprostone gel. Since use of Foleys catheter is advantageous in terms of lack of specific storage conditions and cost of treatment, it could be considered a cost effective alternative for preinduction cervical ripening.

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“…The need for operative intervention was also not statistically significant in both the groups. Cesarean section was done in 12 (24.00%) cases in Group-A and 13 (26.00%) cases in Group-B.Similar to our Alam A et al (2016) 11 , reported the need for operative intervention (LSCS) was not significant in both the groups. LSCS was done in 21% in Group-A and 19% in Group-B.…”

Section: Discussionsupporting

confidence: 84%

Comparison of Pre and Post Induction Bishops Score Improvement in Intracervical Foley’s Catheter and Pge2 Gel

Meena

Dhaka

Sunita

et al. 2020

IJMBS

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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.

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A comparative study of intra-cervical foley's catheter and PGE2 gel for pre-induction cervical ripening

Cited by 4 publications

References 7 publications

Role of intracervical foley's catheter as pre-induction cervical ripening agent in reducing rate of primary caesarean section

Role of intracervical foley's catheter as pre-induction cervical ripening agent in reducing rate of primary caesarean section

Intracervical foleys catheter: Can it serve as an alternative to standard pharmacological method of cervical ripening?

Comparison of Pre and Post Induction Bishops Score Improvement in Intracervical Foley’s Catheter and Pge2 Gel

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