Vidhya Priyanka, B D (2020) Transcervical Foley’s Catheter Versus Transcervical Foley’s Catheter Aided by Instaripe for Induction of Labour: A Comparative study. Masters thesis, Madurai Medical College, Madurai.
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Abstract
INTRODUCTION: Labor is a process through which the fetus moves from the intrauterine to the extra uterine environment. The progress of Medicine in general and of Obstetrics in particular has allowed for more high risk pregnancies to evolve to term or close to term, with maternal or fetal pregnancy interruption before the onset of spontaneous labor. This associated to the fact that vaginal delivery has become the best choice for women and health professionals has created the growing need to induce labor in women with unripe cervices. Induction refers to the process whereby uterine contractions are initiated by medical or surgical means before the onset of spontaneous labor. If the cervix is unfavorable, a successful vaginal birth is less likely. Therefore, in the face of a situation indicating pregnancy interruption it is fundamental to assess the cervix conditions to predict induction success. Out of all the scoring systems available, Bishop’s scoring is the commonly used one, which helps to delineate those patients who are more likely to have successful induction. The duration of labor is inversely correlated with the Modified Bishop score; a score that exceeds 6 describes the patient most likely to achieve a successful vaginal birth. Modified Bishop scores of less than 6 usually require that a cervical ripening method be used before other methods. AIM OF THE STUDY: To compare the efficacy of foley’s catheter induction aided by Panicker’s cervical ripening device with normal foley’s catheter induction. MATERIALS AND METHODS: 100 antenatal cases who were admitted in the Department of Obstetrics and Gynaecology, Madurai medical college, for delivery and who met the inclusion criteria were recruited. STUDY DESIGN: Comparative, Prospective Study. SETTING: Department of Obstetrics and Gynaecology, Madurai Medical College, Madurai. INTERVENTIONS: These patients were randomized into two groups with 50 patients in each group. In one group, cervical induction was done by inserting a 16 French Foley catheter and inflating the balloon with 60ml of sterile water. In the other group, foley’s catheter was inserted into the endocervical canal, after inserting it through instaripe device. In the second group, after inflating the balloon, the ripening device is slowly introduced into the vagina after lubricating with xylocaine jelly, to press on to the cervix. Primary and secondary outcome measures were then recorded and analysed. Primary and Secondary outcomes: Primary outcomes like cervical score improvement, induction delivery interval, and secondary outcomes like neonatal APGAR score were evaluated. RESULTS: There was a statistically significant difference in the mean induction delivery interval between the groups, which was 35.74 hours in the Foleys group while it was 29.04 hours in the Instaripe group (p value 0.001). CONCLUSION: It can be said that the induction delivery interval can be shortened if Instaripe device is used to aid Foleys catheter to provide sustained traction. There were no significant maternal and fetal adverse effects in either group. However, more randomized controlled trial are required to make conclusive recommendations for its use.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 221716105 |
| Uncontrolled Keywords: | Transcervical Foley’s Catheter, Transcervical Foley’s Catheter Aided by Instaripe for Induction of Labour. |
| Subjects: | MEDICAL > Obstetrics and Gynaecology |
| Depositing User: | Subramani R |
| Date Deposited: | 16 Feb 2021 15:50 |
| Last Modified: | 16 Feb 2021 15:50 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/14264 |
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