Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 14 , ISSUE 6 ( November-December, 2022 ) > List of Articles

Original Article

Dinoprostone Vaginal Insert vs Intracervical Foley Catheter for Preinduction Cervical Ripening in Women with Previous Cesarean Section

Ummay Kulsoom, Shazia Parveen, Nasreen Noor, Uzma Firdaus

Keywords : Cervical ripening, Dinoprostone, Induction of labor, Insert, Previous cesarean section, Trial of labor after cesarean, Vaginal birth after cesarean

Citation Information : Kulsoom U, Parveen S, Noor N, Firdaus U. Dinoprostone Vaginal Insert vs Intracervical Foley Catheter for Preinduction Cervical Ripening in Women with Previous Cesarean Section. J South Asian Feder Obs Gynae 2022; 14 (6):672-675.

DOI: 10.5005/jp-journals-10006-2153

License: CC BY-NC 4.0

Published Online: 31-01-2023

Copyright Statement:  Copyright © 2022; The Author(s).


Aim: To determine the efficacy of Foley catheter compared to dinoprostone insert for preinduction cervical ripening in women with a previous cesarean delivery. Background: Labor induction is a common intervention in obstetric practice. Both intracervical Foley catheter and dinoprostone insert have been used for the ripening of the cervix and labor induction. Foley catheter has been used for cervical ripening and labor induction in women with previous cesarean section. Recently dinoprostone insert has been approved for preinduction cervical ripening in women having unfavorable cervix. Method: A prospective clinical observational study was conducted in Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh from October 2019 to December 2021. Results: Group I included women who were induced with dinoprostone insert while group II had women induced with transcervical Foley catheter. Most of the women in both groups were induced for hypertensive disorders and gestational age >40 weeks. Successful vaginal birth was significantly higher in the Foley catheter group as compared to the dinoprostone group. Significant uterine hyperstimulation was seen in women induced with dinoprostone while there was negligible maternal and neonatal complications in group II. Conclusion: Our study showed that transcervical Foley catheter was more effective, safe, and acceptable method for labor induction in women with previous cesarean sections without increasing maternal and neonatal morbidity. There was an increased rate of uterine hyperstimulation and scar tenderness in women who were induced with dinoprostone insert. Clinical significance: Intracervical Foley catheter is a better preinduction cervical ripening agent in women with previous cesarean section.

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