A prospective observational study on efficacy and safety of extra amniotic saline infusion with transcervical foley’s catheter in induction of labour in post-dated pregnancy

Abstract

There are various methods available for ripening and induction of Labour. Induction of labour can produce risk of uterine hyper stimulation and rupture and fetal distress. The aim of this study is to evaluate the effectiveness and safety of foley’s catheter with Extra Amniotic Saline Infusion. This was a prospective observational study conducted in the Department of Obstetrics and Gynaecology at District hospital Dharwad. Patients were selected after proper counseling and getting their consent. A total of 200 postdated antenatal women with bishop score of less than or equal to 6 taken up for this study. The induction-expulsion interval was 7 hours in the primigravidae and 6 hours in multigravida. Upon comparing with unpaired t test, the difference is statistically significant. 117 patients (58%) had a normal vaginal delivery. This was followed by 56 patients (28%) who had a caesarean section. The proportion of neonates who had a 5minute Apgar score of less than 6/10 was 17.5%. 36 neonates required NICU admission and all the neonates were discharged within 48 hours. Of this, 21 were discharged within 24 hours of admission. Extraamniotic saline infusion is a simple, inexpensive easily available method of induction.