Randomised trial of intravaginal misoprostol and intracervical Foley catheter for cervical ripening and induction of labour

Author: Owolabi A.   Kuti O.   Ogunlola I.  

Publisher: Informa Healthcare

ISSN: 1364-6893

Source: Journal of Obstetrics & Gynaecology, Vol.25, Iss.6, 2005-08, pp. : 565-568

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Abstract

Induction of labour may be indicated despite an unripe cervix. The purpose of this study was to compare the safety and efficacy of intravaginal misoprostol and an intracervical Foley's balloon catheter for preinduction cervical ripening and labour induction. A total of 120 patients requiring indicated induction of labour with an unfavourable cervix (Bishop's score ≤4) were randomised prospectively to receive either 50 μg intravaginal misoprostol every 6 h for a maximum of two doses, or an intracervical Foley balloon catheter for 12 h followed by an intravenous oxytocin infusion. The two arms of the study were comparable with respect to maternal age, parity, gestational age, indication for induction, and initial Bishop's scores. There were significant change in the Bishop's score in the two groups (5.9 ± 0.2 and 4.0 ± 0.2, respectively, p

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