A comparitive study of pge2 gel intra cervical foleys cathater and misoprotol pge1 for cervical ripening preinduction of labour

Dr. Aseem Sharma; Dr.Durga B.C.

Volume : IX, Issue : IV, April - 2019

A comparitive study of pge2 gel intra cervical foleys cathater and misoprotol pge1 for cervical ripening preinduction of labour

Dr. Aseem Sharma, Dr. Durga B. C.

Abstract :

AIM:– FOR BISHOP SCORE DEPENDING ON CERVICAL STATUS AT THE TIME OF INDUCTION . OBJECTIVE:– CERVICAL RIPENING IN A EFFECTIVE WAY all the three methods were used that is pge2 gel, foleys cathater, Tab. misoprostol for cervical ripening for success full induction of labour. STUDY DESIGN:– A randomised prospective study was conducted in Dept. of OBGYN NGMC kohalpur from Jan 2014 to Dec 2017. 300 pts at term with a bishop score 3 to 4 for various indications for induction were randomly allocated to recieve 100 pts for cervical foleys cathater 100 for pge2 gel and 100 for misoprostol pge–1 . After 6 hrs of all the factors in bishop score was analysed and augumented if required.stastical analysi swas done by chi square test and t test. RESULT:– All the three groups were comparable with respect to maternal age, gestation age, indication of induction and Bishop’s score 5.49+– 1.82 and 5.56+–1.89 PGE2 gel, Foley’s catheter and Tab. Misoprostol, respectively. However, Tab. Misoprostol required 50mcg in primae and 25mcg in multi gravidae. The same dosages were repeated after every 6 hours. However, there was no significant difference in the side effects except of Misoprostol. 37 Cesarean section were performed in Group A and 28 in Group B. However in Group C the rate of Cesarean section were 35. The induction to delivery interval was 15.2 +– 4.24 in Group A, 16.32+– 4.28 in Group B, 17.26+– 4.14 in Group C. Conclusion:– This study shows that the two factors namely, PGE2 gel and Foley’s catheter were equally effective except Tab. Misoprostol dosage three times maintenance dose were different.