A Novel Protocol for Labour Induction

Foley Catheter Plus Vaginal Isosorbide Mononitrate Versus Vaginal Misoprostol for Induction of Labour:a Randomised Controlled Trial

The use of foley catheter was tested many times and proved to be effective for induction of labour.

The investigators compare between vaginal misoprostol versus foley catheter plus vaginal isosorbide mononitrate (IMN) for induction of labour

Inclusion Criteria:

• Term or post term pregnancies.
• Live,singleton fetus.
• Cephalic presentation.
• Intact membrane.
• Bishop score < 6.
• Not in labour.
• Medically indicated for labour induction.
• Primigravida or parity of 3 or less.

Exclusion Criteria:

• Previous caesarean delivery.
• Malpresentation.
• Placenta previa.
• Sever intrauterine growth restriction.
• Multiple pregnancy.
• Polyhydramnios.
• Oligohydramnios.
• Bishop score 7 or more.