Title: Extra Amniotic Saline Infusion in Cervical Ripening and Induction of Labour and Its Effect on Foeto Maternal Out Come
Authors: Dr Bindhu K .M, Dr Cicily T. J, Dr K G Letha
DOI: https://dx.doi.org/10.18535/jmscr/v5i9.59
Abstract
Background: There are various pharmacological and non-pharmacological methods available for ripening and induction of Labour. These methods can produce potential harm to the mother and fetus. Induction of labour can produce risk of uterine hyper stimulation and rupture and foetal distress.
Aim
The aim of this study is to
- Evaluate the effectiveness and safety of foley’s catheter with Extra Amniotic Saline Infusion in cervical ripening and induction of labour.
- To assess the Induction delivery interval, mode of delivery and foetomatenal outcome.
- To assess the Intrapartum and post-partum complications.
Materials and Methods: This is a prospective observational study conducted in the Department of Obstetrics and Gynecology, Government Medical College, Kottayam from January 2012 to October 2012. 201 Antenatal women were included in this study.
Result: The mean pre treatment Bishop Score were 2.125 ± 0.609, 75.6% were having Bishop’s Score of 2. There was significant improvement in Bishop’s Score after EASI. Maximum patients (76.6%) achieved vaginal delivery. Incidence of caesarean section was very much reduced (18.4%). The mean Induction Delivery interval was 11.02 hours. The mean Apgar score at 5’ was 8.94. 99 % Babies having Apgar score > 7 at 5 minute. No significant foeto maternal complications compared to other inducing agents were observed in the current study. These patients were followed up in the post-partum period and no significant post-partum complications were observed.
Conclusion: EASI is a simple, inexpensive easily available method of induction with shorter induction delivery interval, increased vaginal delivery rate with not much significant maternal, foetal or neonatal complications. No serious maternal complications in the post-partum period and no significant morbidity and mortality to the baby in the neonatal period.
Keywords: EASI, Foley’s catheter, Induction
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