Foley's Catheter with or without Misoprostol in Induction of labor: (Randomised Double Blind Control Study)

Abstract

Background: Labor induction is the initiation of labor at a viable pregnancy duration by artificial means, and occurs before the spontaneous onset of labor. The goal of labor induction is to achieve a timely and uncomplicated vaginal delivery with minimal adverse effects on the mother or newborn.Objective: To compare the efficacy of the use of foleys catheter with either misoprostol or placebo to improve induction to delivery interval in women with unfavorable cervix undergoing induction of labor. Patients and Methods: The present study is a randomized double blind controlled study that was conducted at Maternity hospital of Ain Shams university. The study included 100 candidates on 4 equal goups:50 nulliparas randomized into 2 groups and 50 multiparas randomized into 2 groups. Each group underwent labor induction by Foleys catheter and Misoprostol or placebo.Results: labor stages were significantly shorter in combined group than in Foley's group,but no significant difference in third stage. Oxytocin duration and total dose were significantly lower in combined group. No significant difference among studied groups regarding mode of delivery or fetal or maternal complications. Conclusion: Combined Foleys catheter and misoprostol provides a shorter duration of cervical ripening, less oxytocin required with no added complications compared to Foleys catheter alone.