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Induction of labour at term in primigravidae with low Bishop's score: a comparison of three methods

Authors
Journal
European Journal of Obstetrics & Gynecology and Reproductive Biology
0301-2115
Publisher
Elsevier
Publication Date
Volume
58
Issue
2
Identifiers
DOI: 10.1016/0028-2243(95)80009-h
Keywords
  • Labour Induction
  • Primigravida
  • Unripe Cervix

Abstract

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. Design: 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). Subjects and setting: Primigravidae ( n = 90) in the University Hospitals, Benin City, Nigeria. Main outcome measure: (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. Conclusion: The induction-delivery interval was shortest when using a Foley catheter for cervical ripening followed by amniotomy and oxytocin titration.

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