36.Comparison of Efficacy of Foleys Catheter with Prostaglandin E2 Gel for Induction of Labor in Women with Previous One Caesarean Section for Non-Recurrent Cause
Laila Zeb, Tanveer Shafqat and Nosheen Akhtar
ABSTRACT
Objective: To compare the efficacy of Foley's Catheter versus Prostaglandin E 2 GEL for IOL in women with previous one Caesarean Section for a non-recurrent cause.
Study Design: Randomized controlled trial study
Place and Duration of Study: This study was conducted at the in Gynae B unit MTI, LRH, Peshawar from 4th December 2019 to 3rd June 2020.
Materials and Methods: Ninety (90) women undergoing IOL at term pregnancy with previous one cesarean section for non-recurrent causes were included. They were grouped randomly as group A (Foley catheter group) & group B (prostaglandin E2 (PGE2) gel group) by using the lottery method. Patients in both groups were analyzed for successful induction, induction delivery interval, and complications like hyper stimulation, fetal distress, and scar dehiscence. Data was entered in a structured proforma and analyzed using SPSS version 19.
Results: Mean age of women in group A was 28.68 ± 3.26 years and mean gestational age was 38.62 ±1.26 weeks. In group B mean age was 27.577± 3.07 years and mean gestational age was 38.777±1.49 weeks. The delivery interval after induction was16.04 hrs. in group A and 20.84 hrs. in group B. In group A, the delivery within 24 hours was seen in ales (89%) women who were > 39 weeks pregnant. Delivery within 24 hours was seen in 36(80%) patients in group A as compared to 22(48.9%) in Group B (P 0.002).
Conclusion: In this study, both the methods of induction in the women with a previous cesarean section were safe and effective. The cervical ripening effect of the Foley catheter was as good as that of the Prostaglandin E2 gel.
Key Words: Foley catheter, Induction of labor. Prostaglandins E2 gel.
Citation of article: Zeb L, Shafqat T, Akhtar N. Comparison of Efficacy of Foleys Catheter with Prostaglandin E2 Gel for Induction of Labor in Women With Previous One Caesarean Section for Non-Recurrent Cause. Med Forum 2022;33(3):145-149.