A COMPARITIVE STUDY OF PGE2 GEL INTRA CERVICAL FOLEYS CATHATER AND MISOPROTOL PGE1 FOR CERVICAL RIPENING PREINDUCTION OF LABOUR

Dr. Aseem Sharma, Dr. Durga B. C.

Abstract


AIM:-  FOR BISHOP SCORE DEPENDING ON CERVICAL STATUS AT THE TIME OF INDUCTION .

OBJECTIVE:- CERVICAL RIPENING IN A EFFECTIVE WAY  all the three methods were used that is pge2 gel, foleys cathater, Tab. misoprostol for cervical ripening for success full induction of labour.

STUDY DESIGN:- A randomised prospective study was conducted  in Dept. of OBGYN NGMC kohalpur from Jan 2014 to Dec 2017. 300 pts at term with a bishop score 3 to 4 for various indications for induction were randomly allocated to recieve 100 pts for cervical foleys cathater 100 for pge2 gel and 100 for misoprostol pge-1 . After 6 hrs of all the factors in bishop score was analysed and augumented if required.stastical analysi swas done by  chi square test and t test.

RESULT:- All the three groups were comparable with respect to maternal age, gestation age, indication of induction and Bishop’s score 5.49+- 1.82 and 5.56+-1.89 PGE2 gel,  Foley’s catheter and Tab. Misoprostol, respectively. However, Tab. Misoprostol required 50mcg in primae and 25mcg in multi gravidae. The same dosages were repeated after every 6 hours. However, there was no significant difference in the side effects except of Misoprostol. 37 Cesarean section were performed in Group A and 28 in Group B. However in Group C the rate of Cesarean section were 35. The induction to delivery interval was 15.2 +- 4.24 in Group A, 16.32+- 4.28 in Group B, 17.26+- 4.14 in Group C.

Conclusion:- This study shows that the two factors namely, PGE2 gel and Foley’s catheter were equally effective except Tab. Misoprostol dosage three times maintenance dose were different.

Full Text:

PDF

References


National Institiute for Clinical excellence. Clinical guidelines for inducton of labour, Appendix-E London: NICE; 2001

St. Onge RD, Conners GT. Preinduction cervical ripening; a comparison of intra cerivcal PGE2 gel vs. Foley catheter. Am J Obstet Gynecol 1995;172:687-90

Dewn F, Ara AM, Begum A. Foley's catheter versus prostagandlin for induction of labour. Singap J Obstet Gynecol. 2001:32:56-63.

Anthony C, Sciscione DO, Helen M, et al. A prospective, randonmized comparison of foleys catheter insertion versus intracervical PGE2 gel for preinduction cerivcal ripening, AM J Obstet Gynecol 1999;180:55-9.

Abraham SA, Hopcroft LE, Carrick E, Drotar ME, Dunn K, Williamson AJ, Korfi K, Baquero P, Park LE, Scott MT, et al. Dual targeting of p53 and c-MYC selectively eliminates leukaemic stem cells. Nature. 2016;534:341–346


Refbacks

  • There are currently no refbacks.