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A COMPARISON OF FOUR METHODS OF RIPENING THE ‎UNFAVORABLE CERVIX

Fouad Hamad Al-Dahhan --- Ali Falih Al-Asadi

Basrah Journal of Surgery مجلة البصرة الجراحية
ISSN: 16833589 Year: 2005 Volume: 11 Issue: 2 Pages: 55-63
Publisher: Basrah University جامعة البصرة

Abstract

This study aimed to compare the efficacy of four clinical methods used for ripening unfavorable cervix in ‎Basra Maternity Hospital. ‎‎ A prospective study was conducted to compare four methods of ripening the unfavourable cervix : ‎Foley's catheter with extraamniotic saline infusion, Foley's catheter alone, Oxytocin, and Sweeping of ‎membranes.‎‎ The clinical trial involved a total of (121) pregnant women (47 primigravidae and 74 multiparae).‎The success rates in achieving cervical ripening were (100%, 84.6%, 75%, and 54.5% for primigravidae) ‎and (100%, 91.3%, 88.8%, and 64.7% for multiparae) for method I-IV respectively. Post-ripening ‎Bishop's score was 6.9, 5.6, 4.6 and 4.1 for primigravidae &7.3, 6.05, 5.6 and 4.4 for multiparae, for ‎method I-IV respectively.‎‎ The mean priming time was shortest in method-I (6.1 in primigravidae and 5.7 in multiparae) and longest ‎in method-IV (21.6 in primigravidae and 17.8 in multiparae). The induction delivery internal was longer as ‎we move from method-I toward IV. The caesarean section rate was highest in method-III and the lowest ‎rate was in method-I. In conclusion, Foley's catheter with extraamniotic saline infusion was found to be ‎the best method in comparison to the other three methods as it was safe, rapid, effective, inexpensive ‎and requires little training for application