原创力文档comparison of the efficacy of foley catheter balloon with dinoprostone gel for cervical ripening at term比较弗利导管气球的功效与地诺前列酮凝胶为宫颈成熟.pdfVIP
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comparison of the efficacy of foley catheter balloon with dinoprostone gel for cervical ripening at term比较弗利导管气球的功效与地诺前列酮凝胶为宫颈成熟
International Journal of Clinical Medicine, 2012, 3, 527-531 527
/ 10.4236/ijcm.2012.36095 Published Online November 2012 (http://www.SciRP.org/journal/ijcm)
Comparison of the Efficacy of Foley Catheter Balloon with
Dinoprostone Gel for Cervical Ripening at Term
*
Krishna Dahiya , Kanika Malik, Archit Dahiya, Smiti Nanda
Department of Obstetrics and Gynecology, Pt.BDS, PGIMS, Rohtak MMIMSR, Mullana, Ambala, India.
*
Email: krishnadahiya@, drkrishnadahiya@
Received July 25th, 2012; revised August 29th, 2012; accepted September 4th, 2012
ABSTRACT
Objective: The purpose of this study was to compare the efficacy of extra-amniotic Foley catheter with intra cervical
Dinoprostone gel for preinduction cervical ripening. Study Design: A randomized, prospective study was conducted in
the Department of Obstetrics and Gynecology, PGIMS Rohtak on 100 pregnant women admitted for induction of labor.
Fifty patients were randomized to receive Dinoprostone gel and 50 patients to receive intracervical, extra-amniotic
Foley catheter. Results: The two groups were comparable with respect to maternal age, parity, gestational age, indica-
tion for induction, and initial Bishop scores. Both groups had a significant change in Bishop score (4.18 ± 1.81 and 4.6
± 1.48 respectively, p 0.001); however, there was no significant difference between the groups. Mean duration of in-
duction to delivery was 18.51 ± 8.52 in Foley catheter group and 18.21 ± 11.13 in prostaglandin group, the difference
being statistically insignificant. Among 50 cases of prostaglandin only single dose was sufficient for 23 (46%) cases to
induce labor. But in 27 (54%) cases 2nd dose of prostaglandin were required. The expenditure of intervention showed
that Rs. 325 were required for induction by prostaglandin as compared to Rs. 60/- for Induction by Foley’s
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