TY - JOUR AU - Adiele, Nnabugwu Alfred AU - Mgbafulu, Christian C. AU - Ikeotuonye, Arinze Chidiebere AU - Anikwe, Christian Chidebe AU - Adebayo, Joshua Adeniyi AU - Adiele, Nkemjika Miriam AU - Nwigboji, Wilson Ndukwe AU - Olaleye, Ayodele Adegbite AU - Nwafor, Amuchechukwu Veronica AU - Lawani, Lucky Osaheni PY - 2021/12/28 Y2 - 2024/03/28 TI - Profiling cervical ripening for induction of labour with Foley’s balloon catheter in Ebonyi state, Nigeria: a randomized controlled trial JF - International Journal of Research in Medical Sciences JA - Int J Res Med Sci VL - 10 IS - 1 SE - Original Research Articles DO - 10.18203/2320-6012.ijrms20215030 UR - https://www.msjonline.org/index.php/ijrms/article/view/10272 SP - 22-30 AB - <p class="abstract"><strong>Background: </strong>The ripeness of the cervix is an important prerequisite to a successful labour induction. Use of extra-amniotic Foley catheter is a mechanical method of cervical ripening with proven efficacy. This study compared the difference in efficacy between 30 ml and 60 ml of water for inflation of Foley catheter balloon when used for cervical ripening during induction of labour.</p><p class="abstract"><strong>Methods:</strong> A single-blind randomized controlled study where 260 term pregnant women with intact membranes and unfavourable cervix were selected for induction of labour and randomized into two equal groups (30 ml- and 60 ml- groups) from October, 2019 to July 2020. Each participant had cervical ripening with the catheter bulb inflated with either 30 ml or 60 ml of sterile water (as assigned to the individual). After achieving favourable cervix (BS ≥6), oxytocin titration was commenced and the labour monitored with the outcomes well documented and statistically analysed.</p><p class="abstract"><strong>Results: </strong>Mean duration to favourable Bishop Score significantly reduced in the 60 ml group (10.8 hours±2.99) as against 12.7 hours±10.0 in 30ml group (p=0.038). Mean duration of active phase of labour was significantly reduced in 60 ml group (5.6 hours±2.4) as against 8.4 hours±3.2 in 30 ml group (p=0.010). Caesarean delivery rate was significantly reduced in the 60 ml groups (p=0.027).</p><p class="abstract"><strong>Conclusions: </strong>The use of 60 ml inflated Foley’s balloon catheter when compared with 30mls to ripen the cervix effectively reduced the duration to favourable Bishop Score, duration of the active phase of labour and the rate of Caesarean sections.  </p> ER -