Comparison of Intracervical Catheter Vs Misoprostol for Induction of Labour
Objective: Comparison between intra cervical catheter vs Misoprostol for successful induction of labor. Study Design: Randomised-controlled trial Settings: Department of Gynecology and obstetrics, Allama Iqbal Memorial Teaching Hospital, Sialkot. Duration: July to December 2018. Methodology: The cases were chosen between the age of 20 to 40 years with gestation age of more than 37 weeks at presentation. The cases with Bishop score, equal or less than 4 were divided into two equal groups where the cases in group A were managed by intra vaginal Misoprostol (25 micro-gram tablet, every 4 hours for a maximum of 6 doses) and those in group B with intra cervical Foleys catheter and were assessed for outcomes like time for induction of delivery and uterine status. Results: In this study there were total 100 cases, 50 in each group. The mean age of the participants in group A and B was 28.17±5.37and 29.13± 7.03 years (p=0.88). Mean gestation age at presentation was 38.78±1.3 vs 38.14±1.1 weeks with p= 0.95. There were 38% cases in group A and 44% in B that were primi gravida. Most common cause for labor induction was pre-eclampsia seen in 20% case each with p= 1.0 as shown in table I. Latent phase in group A and B was 8.4±4.9 vs 10.1±6.7 (p= 0.21) and mean time to delivery was 10.67±5.1 vs 13.9±9.67 hours with p= 0.01. Conclusion: Misoprostol is better than intra cervical catheter regarding mean time of delivery.