COMPARISON OF DINOPROSTONE WITH TRANSCERVICAL BALLOON CATHETER FOR LABOUR INDUCTION

Induction of Labour

Abstract

Objective: To compare transcervical balloon catheter with dinoprostone in terms of frequency of cesarean section.

Study Design: Randomized controlled trial.

Place and Duration of Study: Department of Obstetrics and Gynaecology, Combined Military Hospital Peshawar, from 1^st Nov 2011to 30^th Jun 2012.

Methodology: A total of 800 patients were selected who underwent labour induction. They were randomly divided into group ‘A’ and ‘B’ with 400 patients in each group. Patients in group ‘A’ were induced using Dinoprostone 3mg placed in posterior vaginal fornix and repeated after 6 hours if labour did not establish. In group ‘B’Foley catheter (26fr) was placed within the cervical canal and inflated with 60 ml of sterile water for labour induction. Patients who underwent caesarean section in both the study groups were then recorded. Induction to delivery interval was also noted in both the study groups.

Results: Mean age of sample was 27.78 ± 4.507. In Group A out of 400 Patients 102 (25.5%) while in Group B 91 (22.7%) underwent cesarean section (p=0.826).

Conclusion: There is no difference in the rate of caesarean section when using Prostaglandin E2 (Dinoprostone) or the Balloon Catheter (Foley Catheter) for induction of labour.