Indian Journal of Obstetrics and Gynecology Research


Induction with transcervical foleys versus iv oxytocin for trial of labor after cesarean(TOLAC)


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Author Details: Shikha Joshi, Sarita Dheeraj, Sunita Fotedar

Volume : 3

Issue : 3

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 257

Article End Page : 263


Abstract

Objectives: To compare efficacy and safety of induction with transcervical Foley’s catheter and low dose intravenous oxytocin for labor induction in a case of previous LSCS.
Methods: One hundred women at term gestation with one previous LSCS with no contradictions for VBAC, Bishop’s score < 6, willing for VBAC (after consent) were selected and divided into two groups of 50 each. Group A was induced with transcervical Foley’s catheter and group B of another 50 was induced with intravenous oxytocin.
Results: In foleys group induction-delivery interval was less 24.54±6.0 hrs compared to oxytocin group 27.88±7.08 hrs. Successful induction rate significantly higher (80% vs 66%) with foley’s as compared to oxytocin group. 76%  women delivered within 24 hours of induction in foleys group whereas in the other group 64% delivered within 24 hours. Both methods are safe for labor induction. No significant systemic complications like rupture uterus noted in both groups. Neonatal outcome was similar in both the groups.
Conclusions: Foleys induction and oxytocin induction are cheap, safe, easy methods with least systemic side effects like rupture or uterine hyperstimulation for labor induction in a case of previous cesarean compared to PGE2 gel though failure rates are more with only oxytocin.

Keywords:
 Intracervical foleys catheter, Oxytocin, Induction of labor, VBAC, TOLAC