A COMPARISON BETWEEN FOLEY CATHETER INSERTION IN CERVICAL CANAL AND LOW DOSE OXYTOCIN INFUSION FOR CERVICAL RIPENING IN TERM PREGNANCIES

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KASHANIAN M.; PARASHI SH.; NIK FARJAM S.

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Journal: Studies in Medical Sciences Year:2007 | Volume:18 | Issue:3 Page(s): 562-566

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Title

A COMPARISON BETWEEN FOLEY CATHETER INSERTION IN CERVICAL CANAL AND LOW DOSE OXYTOCIN INFUSION FOR CERVICAL RIPENING IN TERM PREGNANCIES

Author(s)

KASHANIAN M. | PARASHI SH. | NIK FARJAM S. | Issue Writer Certificate

Keywords

BISHOP SCOREQ3

CERVICAL RIPENINGQ3

OXYTOCINQ3

FOLEY CATHETERQ3

Abstract

Background & Aims: This study aims at comparing intracervical FOLEY CATHETER and low dose OXYTOCIN infusion for ripening of cervix in term pregnancies with an indication for termination.Materials & Methods: A randomized controlled trial was performed in Akbarabadi Teaching Hospital for six months, 2001-2002. Eighty four patients who had at least 37 weeks gestation or more and cervical BISHOP SCORE of £4 were randomly assigned in two groups.In 42 patients (foley catheter group) a FOLEY CATHETER was inserted into the cervical canal and the balloon of catheter was filled with 30cc distilled water and fixed just behind the internal cervical ostium, and in the other 42 patients (oxytocin group) OXYTOCIN was infused at a rate of 2.5 mu/min (16 drop/min of a solution of 2.5 U oxytosin in 1000 cc Ringer), and two protocols were continued for 12 hours in both groups. After 12 hours of performing each protocole, final BISHOP SCORE and also each parts of BISHOP SCORE were compared separately with the first ones.Results: In Foley group, the mean BISHOP SCORE was 1.33± 0.75 and 5.33±2.12 before and after the protocol (P<0.005, Pair T Test) and in OXYTOCIN group it was 1.42±0.7 and 5.1±2.82 before and after the protocol (P<0.005, Pair T Test) which showed statistically significant difference, but the final BISHOP SCORE (5.33±2.12 versus 5.1±2.82) in both groups did not have statistically significant difference which meant the effect of both methods are equal. In Foley group, the score for dilatation of cervix was 0.92± 0.26 and 2±0.38 before and after the protocol and in OXYTOCIN group, it was 0.95±0.21 and 1.21± 0.6 before and after the treatment, and the increase in dilatation score showed a statistically significant difference (P<0.005) between the two group which meant that FOLEY CATHETER can improve the dilatation score better than OXYTOCIN.In contrast, cervical effacement score in Foley group was 0.28±0.45 and 1.04±0.69 and in OXYTOCIN group was 0.4±0.49 and 1.59±0.73 before and after the procedures, and increase of the score showed a statistically significant difference between the two groups (P<0.005) which meant OXYTOCIN improved the effacement score better than FOLEY CATHETER. Improvement of other parts of BISHOP SCORE did not show significant differences between the two groups.Conclusion: Both methods are suitable, safe and inexpensive methods for ripening cervix. As FOLEY CATHETER improves cervical dilatation and OXYTOCIN improves cervical effacement, it is better to use both methods simultaneously.

Cites

THE RELATIONSHIP BETWEEN THE BISHOPS SCORE AT ADMISSION AND DELIVER OUTCOMES IN NULLIPAROUS WOMEN IN 29 BAHMAN HOSPITAL, TABRIZ

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APA: Copy

KASHANIAN, M., PARASHI, SH., & NIK FARJAM, S.. (2007). A COMPARISON BETWEEN FOLEY CATHETER INSERTION IN CERVICAL CANAL AND LOW DOSE OXYTOCIN INFUSION FOR CERVICAL RIPENING IN TERM PREGNANCIES. STUDIES IN MEDICAL SCIENCE (THE JOURNAL OF URMIA UNIVERSITY OF MEDICAL SCINCES), 18(3), 562-566. SID. https://sid.ir/paper/64124/en

Vancouver: Copy

KASHANIAN M., PARASHI SH., NIK FARJAM S.. A COMPARISON BETWEEN FOLEY CATHETER INSERTION IN CERVICAL CANAL AND LOW DOSE OXYTOCIN INFUSION FOR CERVICAL RIPENING IN TERM PREGNANCIES. STUDIES IN MEDICAL SCIENCE (THE JOURNAL OF URMIA UNIVERSITY OF MEDICAL SCINCES)[Internet]. 2007;18(3):562-566. Available from: https://sid.ir/paper/64124/en

IEEE: Copy

M. KASHANIAN, SH. PARASHI, and S. NIK FARJAM, “A COMPARISON BETWEEN FOLEY CATHETER INSERTION IN CERVICAL CANAL AND LOW DOSE OXYTOCIN INFUSION FOR CERVICAL RIPENING IN TERM PREGNANCIES,” STUDIES IN MEDICAL SCIENCE (THE JOURNAL OF URMIA UNIVERSITY OF MEDICAL SCINCES), vol. 18, no. 3, pp. 562–566, 2007, [Online]. Available: https://sid.ir/paper/64124/en

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