COMPARSION OF FOLEYS, FOLEYS WITH EASI (EXTRA AMNIOTIC SALINE INFUSION) FOR INDUCTION OF LABOUR IN WOMEN WITH UNFAVOURABLE CERVIX.

Abstract

To compare the efficacy of transcervical
foleys catheter alone to transcervical foleys
catheter with extra amniotic saline
infusion for labour infusion and cervical
ripening in women with unfavourable cervix.
Study type is Observational study. It
was conducted in Department of Obstetrics
and Gynaecology, PSG Hospitals,
Coimbatore.Study subjects were women
presenting for labour induction with a singleton,
cephalic, intact membranes and
unfavourable cervix with adequate pelvis
bishops score less than or equal to 5.
Eligible women were randomly selected
and assigned to receive either Foleys
catheter alone or Foleys with Extra Amniotic
Saline Infusion(EASI). The primary
study outcome was induction to delivery
interval, secondary outcome includes
maternal and fetal outcome.Fifty women
met eligibility criteria and were randomly
assigned(Foleys n-25 Foleys with EASI n
-25). Study
subjects were of similar parity, gestational
age and bishops score. The median induction
to delivery interval for foleys alone and
Foleys with EASI was found to be similar
(16-20 hours p-0.107). Also it was noted
that there was no statistical difference between
the two groups withregard to mode
of delivery. In women with unfavourable
cervix, there was no significant difference
in efficacy of labour induction of Foleys
alone group and Foleys with EASI group.