Comparison of Outcome of Foley Catheter Versus Misoprostol for Induction of Labor

Comparison of Outcome of Foley Catheter Versus Misoprostol for Induction of Labor at Term Pregnancy

There are gaps in the local data regarding the comparative effectiveness of Foley catheter versus misoprostol for induction of labor (IOL). Therefore, the current study was planned with the objective of comparing the mean induction-to-delivery interval of Foley catheter versus misoprostol for IOL in singleton term pregnancy.

Although systematic reviews and meta-analyses have compared the effectiveness and safety of pharmacologic, nonpharmacologic, mechanical, and combined methods of cervical ripening and labor induction, the optimal method of IOL is still debatable. The findings would be helpful in further assessing the conflicting evidence and furnishing the limited data regarding the use of Foley catheters or misoprostol in patients undergoing IOL from local setups.

Inclusion Criteria:

• Pregnant females
• 18-40 years
• With a singleton term pregnancy (37-41) weeks
• Parity < 4
• Vertex presentation (on ultrasound scan)
• Intact membranes (on history and clinical examination)
• Going through labor induction

Exclusion Criteria:

• With a previous uterine surgery
• Non-reassuring cardiotocography (CTG)
• Oligohydramnios (on ultrasound scan)
• Intrauterine growth restriction (IUGR) (on ultrasound scan)
• Abruptio placenta (on ultrasound scan).