Labor
Conditions
Brief summary
There are gaps in the local data regarding the comparative effectiveness of Foley catheter versus misoprostol for induction of labor (IOL). Therefore, the current study was planned with the objective of comparing the mean induction-to-delivery interval of Foley catheter versus misoprostol for IOL in singleton term pregnancy.
Detailed description
Although systematic reviews and meta-analyses have compared the effectiveness and safety of pharmacologic, nonpharmacologic, mechanical, and combined methods of cervical ripening and labor induction, the optimal method of IOL is still debatable. The findings would be helpful in further assessing the conflicting evidence and furnishing the limited data regarding the use of Foley catheters or misoprostol in patients undergoing IOL from local setups.
Interventions
Women received intravaginal misoprostol 25 μg 4 hours apart, up to a maximum of four doses.
An intracervical Foley catheter (16 F) was inserted into the patients. The balloon was inflated with 30 mL of sterile normal saline solution and was kept in place until it expelled spontaneously.
Sponsors
Study design
Eligibility
Inclusion criteria
* Pregnant females * 18-40 years * With a singleton term pregnancy (37-41) weeks * Parity \< 4 * Vertex presentation (on ultrasound scan) * Intact membranes (on history and clinical examination) * Going through labor induction
Exclusion criteria
* With a previous uterine surgery * Non-reassuring cardiotocography (CTG) * Oligohydramnios (on ultrasound scan) * Intrauterine growth restriction (IUGR) (on ultrasound scan) * Abruptio placenta (on ultrasound scan).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Delivery of the fetus | 24 hours | Induction-to-delivery interval was calculated from the insertion of the Foley catheter or misoprostol until the delivery of the fetus in hours. |
Countries
Pakistan
Contacts
D.G. Khan Medical College/Allama Iqbal Teaching Hospital