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2018•Journal of Comparative Effectiveness ResearchRequires access

Comparative outcome of induced labor by intracervical Foley catheter with misoprostol versus misoprostol alone

Apala Priyadarshini, Shyam Pyari Jaiswar, Apoorva Singh, Swati Singh

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Abstract

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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What this paper is about

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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Available abstract

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.

Key concepts: Misoprostol, Medicine, Foley catheter, Foley, Outcome (game theory), Obstetrics, Anesthesia, Catheter

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