Intravaginal misoprostol versus Foley catheter for cervical ripening and induction of labor.
OBJECTIVE
To compare the efficacy and safety of 100 microg of intravaginal misoprostol with intracervical Foley catheter for cervical ripening and induction of labor.


METHODS
One hundred women being induced in the Lagos University Teaching Hospital, Nigeria, were randomized to receive a single 100 microg dose of misoprostol intravaginally or intracervical insertion of Foley catheter. Data analyses were by the Student's t-test and chi-square test.


RESULTS
Misoprostol was more effective in terms of induction to delivery interval (11.84+/-5.43 versus 20.03+/-4.68 h, P<0.05), change in Bishop score, and number delivered within 24 h, in patients with a one-time successful induction. Uterine hyperactivity and rupture were more frequent in the misoprostol group.


CONCLUSIONS
A single 100 microg dose of intravaginal misoprostol is more efficacious than intracervical insertion of Foley catheter for cervical ripening and induction of labor. Further studies using lower doses are needed to determine the safest dose.
Afolabi
B B
BB
Department of Obstetrics and Gynecology, Lagos University Teaching Hospital, Lagos, Nigeria. bosedeafolabi2003@yahoo.com
Oyeneyin
O L
OL
Ogedengbe
O K
OK
D000282:Administration, Intravaginal; D000328:Adult; D002404:Catheterization; D020070:Cervical Ripening; D005260:Female; D006801:Humans; D007751:Labor, Induced / Q000379:methods*; D016595:Misoprostol / Q000008:administration & dosage*; D017063:Outcome Assessment, Health Care; D010120:Oxytocics / Q000008:administration & dosage*; D011247:Pregnancy; D019233:Retreatment / Q000706:statistics & numerical data; D013997:Time Factors; D014590:Uterine Contraction / Q000502:physiology; D014597:Uterine Rupture / Q000453:epidemiology
D010120:Oxytocics; D016595:Misoprostol