Jameela C1
ABSTRACT: OBJECTIVE: To compare transcervical Foley catheter with or without extra amniot-ic saline infusion for induction of LABOUR patients with an unfavorable cervix and also to deter-mine safety of both the methods. METHOD: 50 patients were randomly selected & grouped into two categories of 25 each. Group a was induced with foley’s catheter alone & group b with foleys with extra amniotic saline infusion. After induction of labour, labour was augmented with arm or oxytocin after expulsion of the catheter. Antibiotic was not prescribed. The primary outcomes were induction to delivery interval, incidence of chorioamnionitis & improvement in the bishop score. The secondary outcomes were mode of delivery, apgar score at 1 & 5 minutes and NICU admissions. RESULTS: 50 women were included in this study, 25 in each group. Baseline demo-graphic characteristics including age, parity, gestational age at induction, pre-induction Bishop Score, indications for induction were comparable between both groups. The mean induction -delivery interval in extra amniotic saline infusion group was 11.2 hrs. While that in the Foley group was 11.46 hrs. (p>0.05). There was no statistically significant difference between the groups in change in the Bishop Score; however each individually improved the Bishop score sig-nificantly. The cesarean rate was not statistically different in the groups (p=0.569). There were no neonatal morbidities and no evidence of chorioamnionitis in any of the patients.
CONCLUSION: In women with unfavorable cervix, addition of extra amniotic saline did not im-prove the efficacy of labor induction, although both methods are safe for labor induction.
