COMPARISON OF PRE AND POST INDUCTION BISHOP'S SCORE IMPROVEMENT IN INTRACERVICAL FOLEY'S EATHETER VERSUS INTRACERVICAL DINOPROSTONE GEL

*Dr. Sharath Chandra Rao, Dr. T. Srinivas Rao, Dr. Ashok Kumar Y. G. and Dr. Praveena Kumara

ABSTRACT

Background: Numerous techniques have been attempted for induction of labour like intravaginal or intracervical administration of prostaglandin and intracervical Foley's balloon catheter insertion. Nevertheless, despite the multiplicity of techniques, there is no method that is universally accepted and thus the ideal method of labour induction remains elusive. Aim: To compare the outcomes of induction for labour using intracervical Foley's catheter versus intracervical dinoprostone gel in terms of improvement between pre and post induction Bishop's scores. Material and Methods: The present prospective randomized controlled trial was conducted on 200 pregnant women between 37 to 40 weeks of gestations, eligible for induction of labour divided into two groups of 100 each were studied. Group A (100 cases foley's catheter with uneffaced os closed) and Group B (100 cases intracervical dinoprostone) alternatively. Results: The post induction Bishop's score was between >8 among 64% of women inGroup B compared to 44% of women in Group B. This difference was statistically significant (p=0.004). Mean post induction Bishop's score in Group B was significantly high (7.39+/1.32) compared to Group A (6.92 ÷ 1.30) (p=0.012). Conclusion: Intracervical Dinoprostone gel has slightly higher success rate for cervicalripening for induction of labour as determined by Bishop's score of >6 compared to intracervical Foleys catheter.

Keywords: Numerous techniques intracervical Foleys catheter.