A Comparative Study of Intracervical Foley's Catheter Instillation Vs Intracervical Dinoprostone Gel for Pre - Induction Cervical Ripening

Background: This was a comparative study to compare use of intracervical foley?s Cathter instillation vs intracervical Dinoprostone Gel for pre - induction cervical ripening. Method: It was a prospective randomised control study in 100 patients with an indication of labour induction, conducted in Nalanda Medical College and Hospital, Patna from Jnuary 2019 to October 2020.50 patients (Group - P) received PGE2 gel i.e. Dinoprostone Gel, upto maximum of 3 doses 6 hrs apart and 50 patients (Group - F) received foely?s catheter instillation for 24 hrs or upto spontaneous expulsion. Result: In both groups induction was started with same Bishop Score of less than5. Improvement in Bishop?s Score was more in Group - P (3.09) vs Group - F (3.1) (P valueless than0.01). Mean Induction to delivery interval was shorter in Group - P vs Group - F.61% delivered within 16hrs in Group - P and 42% delivered within 16hrs. Need for Oxytocin augmentation to deliver was higher with Group - F compared to Group - P.70% delivered vaginally in Group - P and 56% in Group - F.32% patients had LSCS in Group - F and 14% in Group ?P. Conclusion: Pre - induction Cervical ripening is more effective with Dinoprostone Gel (PGE2 Gel). Mean induction to lanour interval were shorter, oxytocin augmentation was less with Dinoprostone Gel. Thus Dinoprostone Gel is better and more effective agent than folley?s catheter in pre - induction cervical ripening.