Online ISSN: 2515-8260

Keywords : Cervical ripening

To Study the Outcome of Cervical Ripening Balloon versus Foleys Induction as a Method of Induction in Full Term Pregnancy with Previous 1 LSCS Willing For VBAC

Dr. Sneh Pandey; Dr. Yamini Patil; Dr. Sanjay Patil

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 5161-5170

Background: Cervical ripening and/or labour induction in women’s have not been proven to be the most effective, safest, or most effective methods. In order to better understand the factors that determine the efficacy of mechanical induction using a Foley’s bulb, this study was conducted on patients who had previously undergone a one lower segment caesarean surgery with an unsalvageable infant (in our current configuration). Aim: To study and compare maternal and fetal outcome after induction of labor with foleys catheter and cervical ripening balloon in cases of previous 1 LSCS. Material & Methods: This was prospective observational study was conducted in the department of obstetrics and gynaecology of rural tertiary health care center, Karad from Dec 2020 – May 2022. Results: Among 63 cases were found <=6 post catheter Bishop Score in cervical ripening balloon (CRB) group whereas 25 (39.7%) in Foleys group. 49 (77.8%) out of 63 cases were found >6 post catheter Bishop Score in CRB group whereas 38 (60.3%) in Foleys group. A p-value is 0.034 calculated using Chi-square test. There was significance difference found in both the study groups. Here 45 (71.4%) out of 63 cases were found vaginal delivery in CRB group whereas 34 (54.0%) in Foleys group. The mode of delivery, 18 (28.6%) out of 63 cases were observed C-section in CRB group whereas 29 (46%) in Foleys group. The P value was 0.0463 calculated by Chi-square test. In CRB group birthweight of neonate is significantly higher compared to foleys group. Conclusion: Bishop Score increment by CRB group is more effective than induction by Foley group.