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Comparative outcome of induced labor by intracervical Foley catheter with misoprostol versus misoprostol alone
Apala Priyadarshini1, Shyam P Jaiswar1, Apoorva Singh1
1Department of Obstetrics & Gynecology, King George's Medical University, Lucknow 226003, Uttar Pradesh, India.
Aim:
To evaluate the comparative outcome of induced labor by intracervical Foley catheter with misoprostol versus misoprostol alone.
Materials & Methods:
A total of 1306 women were enrolled over 4 years, induced with either intracervical Foley with misoprostol or misoprostol alone and compared in terms of induction-delivery interval, mode of delivery, the presence of uterine tachysystole, postpartum hemorrhage and perinatal outcome.
Results:
Induction to delivery interval, the duration between induction to active labor was significantly reduced, deliveries within 24 h were significantly higher and the number of misoprostol doses used was significantly less in Foley with misoprostol group.
Conclusion:
The outcome of combination of intracervical Foley catheter and misoprostol is superior for labor induction, without affecting maternal or perinatal outcome.
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