Comparison between Foley Catheter plus Oxytocin and Oxytocin Only For Induction of Labour after Membrane Rupture

Premature Rupture of Membranes (PROM) at term is defined as rupture membrane least 1 hour before the onset uterine contractions a gestational age 37 weeks or more, it complicates 8% all pregnancies [1]. It associated with risk chorioamnionitis, which increases duration PROM, latency beyond 24 hours incidence chorioamnionitis and neonatal sepsis [2,3]. Spontaneous labour occurs in 60%–67% these patients within [2,4]. If no occurs, induction must be best management for women PROM term. Labour usually performed when risks continuing pregnancy are more than benefits delivery PROM. Cervical ripening an important factor successful induction. Unripe cervix lower Bishop score increased failure, while favorable significantly predicts timely [5]. Different methods used but none available free medical risks; therefore, should only induced there continuation pregnancy. The agents simulate spontaneous without causing excessive activity. most common involve Pharmacological include many agents, such Prostaglandins (PGs (E2 orE1), progesterone receptor antagonists (mifepristone), oxytocin, Nitric Oxide (NO) donors, commonly PG oxytocin) [6], mechanical Intracervical Foley catheter method that was first described by Embrey Mollison 1967, where inserted into cervical canal inflated just past internal os mild traction outward dilating directly, well indirectly stimulating (PGs) oxytocin secretion [7-11]. American College Obstetricians Gynecologists (2009) recommended using case term, even if unfavorable [12]. Several studies have evaluated combination devices, alone has not been shown to affect [13-15]. Induction device accepted cases intact membrane, although treatment does show any advantage over vaginal PGs regarding rates endometritis infection [16]. In concern intraamniotic other morbidity, membranes [13]. Although established safe effective membranes, its efficacy Chorioamnionitis temperature 38°C greater two following: tenderness, maternal tachycardia, fetal foul odor amniotic fluid, leukocytosis (greater 15,000 cells/mL3) [17].