Induction of Labour –Foleys Catheter Vs Dinoprostone Gel: A Randomized Controlled Trial

Abstract

The success of labour induction depends on the degree of ripening of the cervix, which can be best assessed objectively by cervical ripening score as developed by Bishop. Authors track the change in Bishop Score after 12 hours of labor induction to evaluate success rates, active labor and delivery time, maternofoetal outcome, and cost effectiveness. This was a randomized controlled clinical trial and sample size was 152 with 76 in each group. There was a significant change in Bishop score in women who were given dinoprostone gel, with a mean score of 7. Foley's group had a greater risk of fetal distress, which was likely due to the longer labor and requirement for more oxytocin augmentation for a long time. In terms of labor costs, Dinoprostone gel, while more expensive than Foley's catheter, ultimately proved to be as cost-effective for patients due to speedier labor induction, higher vaginal delivery rates, and thus shorter hospital stays.