Comparative study of extra amniotic saline infusion through intracervical balloon catheter and prostaglandin E2 gel for induction of labour

Abstract

Definition of induction of labour Stimulation of regular uterine contractions in a viable pregnancy before the onset of labour using mechanical or pharmacological methods in order to generate progressive cervical dilatation and subsequent delivery after fetus maturity. Aim of study The study is carried out to assess the effectiveness of extra amniotic saline infusion and prostaglandin E2 gel for induction of labour. Objectives of the study To study the effect of cervical ripening To study the oxytocin augmentation need To see the effect on the labour outcome To study the response difference in primi and multi To assess the maternal and fetal outcome Methodology Study centre The study was undertaken in the Institute of Obstetrics and Gynecology, Egmore, Chennai Study design Prospective randomized control study conducted between August 2014 - August 2015 Sample size 200 antenatal mothers admitted in the hospital were included in this study Results: The mean Induction active labour interval in Primis induced with extra amniotic saline infusion was 6.35 hrs and in PGE2 gel group was 8.35 hrs. The mean Induction active labour interval in Multis induced with extra amniotic saline infusion was 4.98 hrs and in PGE2 gel group was 6.55 hrs. Conclusion: Cervical ripening was more effective in the Extra amniotic saline infusion group when compared to PGE2 group. Mean Induction to active labour interval (ILI) was shorter in the Extra amniotic saline infusion group when compared to PGE2 gel group.