title: Induction of labour at term in primigravidae with low Bishop's score: a comparison of three methods.
abstract: OBJECTIVE
  To determine which of three methods of induction of labour at term in primigravidae with a low Bishop's score is effective and safe.
  
  
  METHODS
  Random allocation to Prostin E2 and amniotomy later (Group A); low amniotomy and oxytocin titration (Group B); and intra-cervical Foley balloon overnight followed next morning by low amniotomy and oxytocin titration (Group C).
  
  
  METHODS
  Primigravidae (n = 90) in the University Hospitals, Benin City, Nigeria.
  
  
  METHODS
  (i) Time taken to achieve 3 uterine contractions in 10 min; (ii) induction-delivery interval.
  
  
  RESULTS
  The mean time interval between intervention and regular uterine contractions was shortest in Group C (A vs. C, P < 0.02; A vs. B, P < 0.02). The mean induction-delivery interval was shortest in Group C (11.1 h) followed by Group B (13.9 h) and Group C (17.9 h) P < 0.05-0.001.
  
  
  CONCLUSIONS
  The induction-delivery interval was shortest when using a Foley catheter for cervical ripening followed by amniotomy and oxytocin titration.
authors.affiliation: Department of Obstetrics and Gynaecology, College of Health Sciences, University of Benin, Edo State, Nigeria.
authors.forename: A A
authors.initials: AA
authors.lastname: Orhue
mesh_terms: D000328:Adult; D000650:Amnion / Q000601:surgery*; D002404:Catheterization; D015232:Dinoprostone / Q000008:administration & dosage*; D005260:Female; D006801:Humans; D007751:Labor, Induced / Q000379:methods*; D010121:Oxytocin / Q000008:administration & dosage*; D010298:Parity; D010570:Pessaries; D011247:Pregnancy; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D010121:Oxytocin; D015232:Dinoprostone