VAGINAL MISOPROSTOL VERSUS TRANSCERVICAL FOLEY'S CATHETER AND INTRAVENOUS OXYTOCIN FOR LABOUR INDUCTION

Elshamy, Maged; Warda, Osama; Said, Ahmed; Mosbah, Alaa; Shalaby, Hend

doi:10.21608/egyfs.2009.4858

VAGINAL MISOPROSTOL VERSUS TRANSCERVICAL FOLEY'S CATHETER AND INTRAVENOUS OXYTOCIN FOR LABOUR INDUCTION

Document Type : Original Article

Authors

¹ Obstetric and gynecology department, faculty of medicine, Mansoura University, Mansoura, EGYPT

² Obstetric and gynecology department, faculty of medicine, Zagazig University, Zagazig, EGYPT

10.21608/egyfs.2009.4858

Abstract

Objectives: To compare efficacy and safety of 50 mg vaginal Misoprostol with transcervical Foley's catheter and
intravenous oxytocin for labor induction.
Method(S): 150 women at term gestation, with Bishop score < 4, with various indications for labor induction were
randomly allocated to receive either Misoprostol vaginally'6 hourly (maximum 4 doses) or transcervical Foley's
catheter with intravenous oxytocin (2 mU/minute to a maximum of 32 mU/minute or till the woman goes into active
labour).
Results: In Misoprostol group induction-delivery interval was significantly less (11.58 vs 19.45 hours) and successful
induction significantly higher (98% vs 78%) as compared to catheter/oxytocin group. Eighty-eight percent of the
women delivered within 24 hours of induction in misoprostol group whereas in the other group 72% delivered within
24 hours. Eighteen percent of women delivered with a single dose of misoprostol while 28% required the maximum
dosages of oxytocin.
Conclusion(S): Vaginal misoprostol is a cheap, highly effective and easy to administer agent for labour induction.

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