COMPARSION OF FOLEYS, FOLEYS WITH EASI (EXTRA AMNIOTIC SALINE INFUSION) FOR INDUCTION OF LABOUR IN WOMEN WITH UNFAVOURABLE CERVIX

To compare the efficacy of transcervical foleys catheter alone to transcervical foleys catheter with extra amniotic saline infusion for labour infusion and cervical ripening in women with unfavourable cervix. Study type is Observational study. It was conducted in Department of Obstetrics and Gynaecology, PSG Hospitals, Coimbatore.Study subjects were women presenting for labour induction with a singleton, cephalic, intact membranes and unfavourable cervix with adequate pelvis bishops score less than or equal to 5. Eligible women were randomly selected and assigned to receive either Foleys catheter alone or Foleys with Extra Amniotic Saline Infusion(EASI). The primary study outcome was induction to delivery interval, secondary outcome includes maternal and fetal outcome.Fifty women met eligibility criteria and were randomly assigned(Foleys n-25 Foleys with EASI n -25). Study subjects were of similar parity, gestational age and bishops score. The median induction to delivery interval for foleys alone and Foleys with EASI was found to be similar (16-20 hours p-0.107). Also it was noted that there was no statistical difference between the two groups withregard to mode of delivery. In women with unfavourable cervix, there was no significant difference in efficacy of labour induction of Foleys alone group and Foleys with EASI group.