A randomized controlled trial comparing vaginal misoprostol versus Foley catheter plus oxytocin for labor induction

Abstract

Vaginal misoprostol is more effective than and as safe as Foley catheter and oxytocin for induction of labor in term and post-term pregnancy.

Intravaginal misoprostol versus Foley catheter for labour induction: a meta-analysis

“…15 Seven studies defined tachysystole as six or more contractions in 10 minutes occurring over two consecutive 1-minute intervals. [11][12][13][14][17][18][19] This definition is nearly identical to the current definition suggested by the Eunice Kennedy Shriver National Institute of Child Health and Human Development, the American College of Obstetricians and Gynecologists (ACOG), and the Society for Maternal-Fetal Medicine in 2008: 'more than five contractions in 10 minutes, averaged over a 30-minute window'. 21 One study defined tachysystole as more than five contractions in a 10-minute period and requiring intravenous administration of terbutaline.…”

“…[11][12][13][14][15][16][17][18][19] The details of our search can be found in Figure 1. The studies' details are summarised in Table 1, and their quality assessment is detailed in Table 2.…”

A cross sectional study to compare effects of mechanical dilatation and sublingual misoprostol on induction of labor in a tertiary level government hospital

“…7 Our findings were similar to Promila et al, Sheikher et al, Filho et al and Roudsari et al who also found significantly shorter induction to delivery interval in misoprostol group. [8][9][10][11] Present study shows most of the patients in Foleys group require 7-12 hours (71%) from cervical ripening to delivery, most of the patients in misoprostol group (63%) require 4-9 hours from cervical ripening to delivery, which is significant with p=0.0037. Our study is not in accordance with Prager et al who found that induction to delivery interval was significantly shorter in Foley catheter group as compared to misoprostol and PGE 2 .…”

Prospective multi-centre randomised trial comparing induction of labour with a double-balloon catheter versus dinoprostone

“…This finding suggests different biological induction mechanisms. A recent smaller randomised study that compared misoprostol with Foley catheter found the same tendency (Moraes Filho et al 2010). Induction with the balloon catheter probably acts by induction of a wide range of biochemical events similar to those involved in tissue inflammation, whereas the PGE2 acts as a uterotonic agent and has an effect on the cervix (Arias 2000).…”