INDUCTION OF LABOUR USING TRANSCERVICAL FOLEY'S CATHETER WITH EXTRA
AMNIOTIC SALINE INFUSION VERSUS INTRACERVICAL PROSTAGLANDIN E2 GEL AT
TERM GESTATION- A COMPARATIVE STUDY
Abstract
BACKGROUND: The intentional commencement of cervical ripening and
uterine contraction for the purpose of achieving delivery prior to the
onset of spontaneous parturition is known as induction of labour. When
the benefits to the mother or the foetus surpass the benefits of
extending the pregnancy, it is indicated. AIM: The purpose of this study
was to assess the efficacy of a transcervical foley’s catheter with
extra amniotic saline infusion against intra cervical prostaglandin E2
gel for inducing labour in term pregnant women. RESEARCH MATERIALS AND
METHODS: From January 2020 to June 2021, a comparative study was
undertaken at R.L. Jalappa Hospital and Research Centre. The study
enrolled a total of 72 individuals. After obtaining informed consent
from the patients who were admitted, and meeting the inclusion criteria,
detailed history was collected, baseline investigations were done. After
clinical examination of the patient, by using the simple lottery method,
patients were divided into group A (Extra amniotic saline infusion group
with Foley’s catheter) and group B (Dinoprostone (PGE2 gel) group).
RESULTS: Prolonged gestational age, hypertensive disorders in pregnancy,
and oligohydramnios were the most frequent causes for induction in the
EASI group, accounting for 38.89 %, 38.89 % and 22.22 %,
respectively. The dinoprostone group has 36.11 %, 33.33 %, and 25%,
respectively. After induction, the majority of patients in the EASI
group had a modified Bishop’s score of 2. CONCLUSION: Our research found
that PGE2 and EASI were equally effective in inducing labour. KEY WORDS:
Induction of labour.