اثر شیاف پروستاگلندین E2 و سوند فولی داخل سرویکس در ایجاد آمادگی دهانه رحم قبل از القا زایمان با اکسی توسین

Background and purpose: Prostaglandin Ë2 and intracervical catheter are two categories of cervical ripening before induction of labor. The aim of this study was to compare the effectiveness of the intracervical foley balloon catheter and 3 mg prostaglandin Ë2 tablet in preinduction of cervical ripening. Materials and methods: Ïn this clinical trial study, 89 primigravid women hospitalized for induction of labor with a Bishop score of less than 5 were randomized to receive either an intracervical foley catheter (n=45) or prostaglandin Ë2 tablets (n=44). Çervical ripening, frequent use of oxytocine, mode of delivery and maternal morbidity were the main outcome measures. Fisher's exact test, Mann-Whitney, paired T-test and T-test were used for data analysis using SPSS version 15. Results: The mean age of patients in prostaglandin Ë2 and intracervical catheter groups were 23.3 ± 3.8 and 23 ± 3.4 years, respectively (P>0.05). There were no significant differences in primary mean Bishop Scores between the two groups (P>0.05). Bishop Scores (mean ± S.D) after ripening were (5.8 ± 1.4) for the foley catheter and (6.4 ± 1.6) for the prostaglandin groups (P>0.05). Üse of oxytocin were more frequent in the foley catheter group (P<0.05). The rates of Çesarean section in prostaglandin Ë2 and intracervical foley groups were 40.9% and 33.3%, respectively, however, this difference was not statistically significant. No significant difference was found in terms of maternal morbidity rate between the two groups. Çonclusion: Ëfficacy of Prostaglandin Ë2 and intracervical foley catheter were the same in preinduction of cervical ripening.