A Prospective Randomized Comparative Study of Intra-Cervical Foley's Catheter Insertion Versus Pge2 Gel for Pre- Induction Cervical Ripening

Laddad, Manisha; Kshirsagar, Nitin; Bhatt, Anand

doi:10.15373/22778179/may2013/171

Cited by 6 publications

(19 citation statements)

References 4 publications

(8 reference statements)

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“…15 In the study, the most common indication for induction of labor was pregnancy induced hypertension followed by postdated pregnancy. This is similar to the study conducted by Laddad MM et al 16…”

Section: Discussionsupporting

confidence: 92%

A comparative study of intra-cervical foley’s catheter and PGE2 gel for induction of labour at term

Kanada

Jain

2019

Int J Reprod Contracept Obstet Gynecol

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Background: In cervical ripening, before induction of labour, is needed to increase the success of labour induction, to reduce complications and to diminish the rate of caesarean section and duration of labour. Pharmacological preparations are in widespread use for cervical ripening but are not free from side-effects and complications. Mechanical methods, i.e. the use of Foley’s catheter balloon, though effective have not gained much popularity because of the fear of infection. Therefore, the study has been conducted to prove the efficacy and safety of extra amniotic Foley catheter balloon and to compare it with intra-cervical prostaglandin E2 (PGE2) gel. The objective of the study was to the success of induction of labor depends on the cervical status at the time of induction. For effective cervical ripening both Foley's catheter and PGE2 gel are used. The aim of this study was to compare the efficacy of intra cervical Foley's catheter and intra cervical PGE2 gel in cervical ripening for the successful induction of labor.Methods: A randomized, comparative study was conducted in the department of obstetrics and gynaecology, Civil hospital, B.J. Medical College Ahmedabad, during a period of 8 month from September 2018 to April 2019. 100 patients at term with a Bishop's score ≤5 with various indications for induction were randomly allocated to group F (intra-cervical Foley’s catheter) and group P (PGE2 gel) with 50 women included in each group.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, 5.10±1.55 and 5.14±1.60 for Foley's catheter and PGE2 gel, respectively, p <0.001. However there was no significant difference between the two groups. There was no significant difference in the side effects and caesarean section rate in both groups. The induction to delivery interval was 16.01±5.50 hours in group F and 16.85 ± 3.81 hours in group P (p=0.073). Apgar scores, birth weights and NICU admissions showed no significant difference between the two groups.Conclusions: The study shows that both Foley's catheter and PGE2 gel are equally effective in pre induction cervical ripening.

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Section: Discussionsupporting

confidence: 92%

A comparative study of intra-cervical foley’s catheter and PGE2 gel for induction of labour at term

Kanada

Jain

2019

Int J Reprod Contracept Obstet Gynecol

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“…The risk for side effects is related to the prostaglandins and preparations used, dosage, route of administration and maternal characteristics . Several studies evaluated the safety and efficacy of various methods of prostaglandin administration for labor induction . However, potential demographic and clinical characteristics that can affect the success of cervical ripening and the risk for complications with prostaglandins, specifically with vaginal Prostaglandin e2 (PGE 2 ) were seldom addressed .…”

Section: Introductionmentioning

confidence: 99%

“…1 Several studies evaluated the safety and efficacy of various methods of prostaglandin administration for labor induction. [12][13][14][15][16][17] However, potential demographic and clinical characteristics that can affect the success of cervical ripening and the risk for complications with prostaglandins, specifically with vaginal Prostaglandin e2 (PGE 2 ) were seldom addressed. 15,[18][19][20] In addition, the factors evaluated and the precise definition of success or failure of ripening and/or induction are inconsistent.…”

Section: Introductionmentioning

confidence: 99%

“…[12][13][14][15][16][17] However, potential demographic and clinical characteristics that can affect the success of cervical ripening and the risk for complications with prostaglandins, specifically with vaginal Prostaglandin e2 (PGE 2 ) were seldom addressed. 15,[18][19][20] In addition, the factors evaluated and the precise definition of success or failure of ripening and/or induction are inconsistent. 18,19 One widely used product for vaginal PGE 2 administration is a preparation of controlled release dinoprostone (Propess, Ferring, Saint-Prex, Switzerland), which is available as a 10 mg, slow release vaginal insert that releases a dose of dinoprostone at a rate of 0.3 mg/h for 24 h. The advantages of this vaginal delivery system are that it is easy to apply and can be removed quickly by pulling the attached string.…”

Section: Introductionmentioning

confidence: 99%

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Prediction of the efficacy of dinoprostone slow release vaginal insert (Propess) for cervical ripening: A prospective cohort study

Daykan

Biron‐Shental

Navve

et al. 2018

J of Obstet and Gynaecol

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“…Many studies revealed that the prostaglandin and its group of drugs when used for ripening of cervix in case of favorable or unfavorable cervix, was effective in bringing cervical favorability, good progress of labor with a successful vaginal delivery within 24 hrs [34].…”

Section: Tripathy and Babymentioning

confidence: 99%

Induction of Labor by Prostaglandin: A Review for Indications and Risk for Cesarean Section

Tripathy

Baby

2017

Asian J Pharm Clin Res

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Objective: Labor induction by medication is now preferred by many obstetricians. The impact of induction remains ambiguous, although many studies and systematic reviews have been conducted. Few studies have reported for its better outcomes while other studies with poor outcomes. The objective of the study is to identify the common indications of induction and the risk of cesarean section after induction. Methods:Various standardized databases, such as Pub Med, Scopus, and Google Scholar, were used to collect the scientific studies, where prostaglandin was used as drug of choice for induction of labor. The key words used were induction of labor, indications of induction, induction by misoprostol, induction and risk of cesarean section, etc. The survey spans over 22 years of study articles published from the year 1995-2017.Result: A total of 112 studies have been included to analyze the indications and risk of cesarean section. The most common indication found in most of the studies was post-term pregnancy. The risk of cesarean section varied from 3% to 48.7%. The common reasons for which the cesarean section was planned were, failed induction, nonprogress of labor, fetal distress, and undiagnosed CPD. Conclusion:Most of the studies recommend induction of labor as a safer option with lower risk of c-section.

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A Prospective Randomized Comparative Study of Intra-Cervical Foley's Catheter Insertion Versus Pge2 Gel for Pre- Induction Cervical Ripening

Cited by 6 publications

References 4 publications

A comparative study of intra-cervical foley’s catheter and PGE2 gel for induction of labour at term

A comparative study of intra-cervical foley’s catheter and PGE2 gel for induction of labour at term

Prediction of the efficacy of dinoprostone slow release vaginal insert (Propess) for cervical ripening: A prospective cohort study

Induction of Labor by Prostaglandin: A Review for Indications and Risk for Cesarean Section

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