Comparative study of vaginal misoprostol and intra cervical Foley’s catheter for pre-induction cervical ripening at term

Agarwal, Meghna; Kose, Varsha

doi:10.18203/2320-1770.ijrcog20171008

Cited by 5 publications

(10 citation statements)

References 3 publications

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“…In the present study, the Bishop score increase in the EASI group was significantly greater than that in the other 2 groups. Contrary to this finding, some studies reported that the Bishop score increase in the misoprostol group was greater than that in either the EASI or laminaria group [9,11,16]. An explanation for this contradiction is the difference among the studies regarding misoprostol dosages.…”

Section: Discussionmentioning

confidence: 81%

“…The higher rate of cesarean sections in the misoprostol group is attributable to the fact that misoprostol can cause uterine hypertonicity and, thereby, increase the risk of fetal distress and the need for emergency cesarean sections. However, some studies reported lower rates of cesarean sections in the misoprostol group than in the EASI group [7,16], and some studies found no significant difference between the misoprostol and the EASI groups regarding the rates of cesarean sections [11,12,14]. The difference among the studies regarding the rates of cesarean sections in the misoprostol, EASI, and laminaria groups may be due to the differences in the therapeutic protocols in different settings.…”

Section: Discussionmentioning

confidence: 99%

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Comparing the effects of vaginal misoprostol, laminaria, and extra amniotic saline infusion on cervical ripening and induction of labor

et al. 2020

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Objective This study aimed to compare the effects of vaginal misoprostol, laminaria, and extra-amniotic saline infusion (EASI) on cervical ripening. Methods This randomized controlled trial was conducted on 195 women with singleton pregnancies and unripe cervices. Participants were randomly allocated to 3, 65-person groups: a misoprostol, a laminaria, and an EASI group. The interventions in the misoprostol, laminaria, and EASI groups included a single 25-µg vaginal misoprostol suppository, an intracervical laminaria, and a transcervical Foley catheter, respectively. The groups were compared with each other regarding time intervals from labor induction to labor active phase and delivery, cervical dilation, Bishop scores 6 hours after induction, delivery type, length of hospital stay, and complications. Results There were no significant differences among the groups regarding maternal ages, gestational ages, body mass indices, baseline cervical dilations, and Bishop scores (P>0.05). Six hours after induction, the Bishop score and cervical dilation were significantly greater in the EASI group than in the other 2 groups (P<0.001). Moreover, time intervals from labor induction to labor active phase and delivery in the EASI group were significantly short (P<0.001). The rates of cesarean section, fetal distress, placental abruption, and meconium staining in the misoprostol group were significantly high (P<0.05), and the length of hospital stay in the EASI group was significantly short (P<0.001). Conclusion EASI is a safer and more effective method for cervical ripening. Considering its inexpensiveness, easy accessibility, and greater effectiveness, EASI is recommended for cervical ripening.

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Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Comparing the effects of vaginal misoprostol, laminaria, and extra amniotic saline infusion on cervical ripening and induction of labor

et al. 2020

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“…This study is in contrast to a study by Agarwal et al, that observed 70% of the Foley's catheter and 50% of misoprostol group were primigravida. 10 In a study by Noor et al 31.8% women of Foley's catheter and 41.7% women of misoprostol group were primigravida. 11 Most of the pregnant women in both the groups presented before their expected date at the time of recruitment.…”

Section: Discussionmentioning

confidence: 95%

A comparative study of intracervical foley’s catheter with oxytocin and vaginal misoprostol for induction of labour

Choudhary

Arya

Sinha

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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Background: Induction of labour implies stimulation of uterine contraction before spontaneous onset of labour with or without ruptured membranes. Aim of this study was to compare the efficacy and safety of intracervical Foley’s catheter with oxytocin and vaginal misoprostol for labour induction at term.Methods: A total 100 term pregnant women were chosen with bishop score <6 and divided into two groups: Foley’s catheter with oxytocin (Group A) and vaginal misoprostol (Group B). In Group A, a 16 F Foley’s catheter introduced beyond internal os and traction applied every 4 hourly to check for expulsion with simultaneous oxytocin infusion (2 mU/min up to 32 mU/min). In Group B, 25 mcg misoprostol administered every 4 hourly (maximum 6 doses or 150 mcg). Data analysed using SPSS software 20.0. A p value <0.05 was considered statistically significant.Results: No statistical difference found between demographic variables between two groups. Both primigravida and multigravida had poor pre-induction bishop score in both groups. Foley’s catheter (80%) and misoprostol group (96%) had successful induction and was statistically significant (p<0.05). Foley’s catheter took more time from induction-delivery both in primigravida and post-dated pregnant women. The rate of cesarean in Foley’s catheter group was high (62.5%) including 33% cases with failed induction. Foley’s catheter had less maternal and neonatal complications, less NICU admission as compared to misoprostol (p>0.05).Conclusions: Misoprostol was found better for successful induction, decreases induction-to-delivery interval and increases vaginal delivery as compared to Foley’s catheter but it needs constant supervision in view of hyperstimulation and tachysystole.

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“…If spontaneous expulsion of Foley's catheter did not occur till 12 hours then catheter was deflated and removed at the end of 12 hours and Bishop score was assessed. 3 Patients with cardiovascular disease, bronchial asthma, renal or hepatic disorders. Cephalopelvic disproportion, low lying placenta, acute local cervical lesion and previous lower segment caesarean section or any scar over the uterus were excluded from study.…”

Section: Methodsmentioning

confidence: 99%

“…It induces labor through direct mechanical dilation of the cervix and by stimulating the endogenous release of prostaglandins. 3 Present study is to evaluate the efficacy of Misoprostol as a cervical ripening agent and its comparison against Foley's catheter in terms of success rate, safety, side effects and patient compliance.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of misoprostol over Foley’s catheter as a cervical ripening agent: a comparative study

Nimbalkar¹,

Patel²,

Thakor³

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Timely induction of labour could reduce maternal mortality and morbidity as well as assure a delivery of healthy baby. Objective of present study was to evaluate the efficacy of Misoprostol as a cervical ripening agent and its comparison with Foley’s catheter in terms of success rate, safety, side effects and patient compliance.Methods: A total of 250 pregnant women requiring induction of labor were recruited. Out of 250 cases, 150 were induced with 50 microgram Misoprostol and in 100 cases Foley catheter 18 F, was placed through the internal os of the cervix during September 2014 to August 2017 at the department of Obstetrics and Gynecology, GMERS Medical College, Dharpur-Patan. Written and informed consent was taken from the patients. Outcome measures, such as change in Bishop's score, need of augmentation, induction delivery interval; complications like hyperstimulation, fever and meconium passage were compared between two groups. Statistical analysis was performed by Epi Info 7.Results: Age range of the patients was 21 to 35 years. 72.4 % of the patients were in 21-25 years age groups. 54.4% patients were multigravida. 59.2% patients had more than 37 weeks of pregnancy. 46.4% of the patients had premature rupture of membrane as indication of labour. The mean Bishop's score for induction was 3.21 in Misoprostol group. 81.3% patients in Misoprostol group and 88% of patients in Foley’s catheter group were delivered by vaginal delivery. 60 % patients delivered within 6 hours in Misoprostol group. (Misoprostol: 60%, Foley’s catheter: 9%, p<0.001) Incidence of thin meconium was 11.3% in Misoprostol group, 9 % in Foley’s catheter group. In Misoprostol group 3.3 women had fever after induction while it was 6% in Foley’s catheter group.Conclusions: The results of the present study confirm that vaginal misoprostol is more effective than Foleys catheter in pre-induction cervical ripening.

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Comparative study of vaginal misoprostol and intra cervical Foley’s catheter for pre-induction cervical ripening at term

Cited by 5 publications

References 3 publications

Comparing the effects of vaginal misoprostol, laminaria, and extra amniotic saline infusion on cervical ripening and induction of labor

Comparing the effects of vaginal misoprostol, laminaria, and extra amniotic saline infusion on cervical ripening and induction of labor

A comparative study of intracervical foley’s catheter with oxytocin and vaginal misoprostol for induction of labour

Efficacy of misoprostol over Foley’s catheter as a cervical ripening agent: a comparative study

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