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Year : 2018  |  Volume : 31  |  Issue : 1  |  Page : 18-22

Comparison between transcervical Foley catheter with oxytocin versus oxytocin alone in inducing labor in women with an unfavorable cervix

1 Department of Obstetrics and Gynecology, Menoufia University, Menoufia, Egypt
2 Department of Obstetrics and Gynecology, Basyoun Central Hospital, Basyoun, Egypt

Correspondence Address:
Amany M Mosa
Department of Obstetric and Gynecology, Basyoun Central Hospital, Basyoun, Gharbia 32511
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1110-2098.234222

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Objective The aim of our study is to compare the benefit of the use of transcervical Foley catheter with oxytocin if needed and oxytocin alone in inducing labor. Background The use of a transcervical balloon catheter for cervical ripening is considered to be a safe and effective method. Patients and methods Overall, 72patients with unfavorable cervix needing induction of labor after 35weeks of gestational age were enrolled in our study from the Department of Obstetrics and Gynecology of Basyoun Central Hospital between November 2014 and October 2015. Patients were randomlyallocatedinto two groups: group1(n=36) patients were assigned for transcervical Foley catheter with oxytocin infusion, if needed, in case of inefficient cervix dilation by 3 cm, and group2(n=36) patients received oxytocin alone. Results There was a statistically significant difference between group1 and group2 regarding successful induction, dose, and duration of oxytocin used. There was no statistical difference between both the groups regarding maternal or fetal complications. Conclusion Transcervical Foley catheter is probably the most useful method for ripening of cervix before induction of labor. Using transcervical Foley catheter with oxytocin had the highest rate of successful induction with least dose and duration of oxytocin required. No fetal or maternal complications occurred.

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