DOI: 10.36347/sjams.2016.v04i11.013

Pages: 3921-3925

The present study was aimed at comparing the efficacy and safety of transcervical foley catheter versus intracervical prostaglandin E2 gel for labour induction by recording the difference in the Bishop’s score as well as noting the maternal and neonatal outcome. This prospective study was conducted on 100 pregnant women in the Department of Obstetrics & Gynaecology, Gauhati medical college, Guwahati, Assam between June 2015 and May 2016. The participants were randomly allocated in two groups. Group A consisted of 50 patients who were given induction of labour with transcervical Foley catheter and Group B consisted of 50 patients who were given induction with prostaglandin E2 gel. Difference in preinduction and postinduction Bishop’s score was noted. Other outcomes noted were mode of delivery, induction-delivery time, maternal and fetal complications. The study groups were comparable with respect to age, gestational age, parity and religion. The change is Bishop’s score was highly significant in both the groups (p<0.001). However, the mean preinduction, postinduction and change in Bishop’s score was comparable in both the groups. The mean induction- active labour time and requirement of labour augmentation was significantly higher in catheter group. However, the mean induction- delivery interval was comparable in both the groups. There were 2 cases of uterine hyperstimulation in gel group. Both the methods were equally efficacious in causing cervical ripening. Therefore, Foley catheter can be used as a safer and cheaper alternative to prostaglandin E2 gel for labour induction.