A COMPARISON OF FOUR METHODS OF RIPENING THE ‎UNFAVORABLE CERVIX

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�...

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Main Authors: Fouad Hamad Al-Dahhan, Ali Falih Al-Asadi
Format: Article
Language:English
Published: university of basrah 2005-12-01
Series:Basrah Journal of Surgery
Online Access:https://bjsrg.uobasrah.edu.iq/article_57517_72892d45a8c1390c90e3dd0b2447cf4b.pdf
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author Fouad Hamad Al-Dahhan
Ali Falih Al-Asadi
author_facet Fouad Hamad Al-Dahhan
Ali Falih Al-Asadi
author_sort Fouad Hamad Al-Dahhan
collection DOAJ
description 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
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spelling doaj.art-b88ba4c5ef124141a4bc68a9e982b84d2022-12-21T19:02:03Zenguniversity of basrahBasrah Journal of Surgery1683-35892409-501X2005-12-01112556310.33762/bsurg.2005.5751757517A COMPARISON OF FOUR METHODS OF RIPENING THE ‎UNFAVORABLE CERVIXFouad Hamad Al-DahhanAli Falih Al-AsadiThis 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 applicationhttps://bjsrg.uobasrah.edu.iq/article_57517_72892d45a8c1390c90e3dd0b2447cf4b.pdf
spellingShingle Fouad Hamad Al-Dahhan
Ali Falih Al-Asadi
A COMPARISON OF FOUR METHODS OF RIPENING THE ‎UNFAVORABLE CERVIX
Basrah Journal of Surgery
title A COMPARISON OF FOUR METHODS OF RIPENING THE ‎UNFAVORABLE CERVIX
title_full A COMPARISON OF FOUR METHODS OF RIPENING THE ‎UNFAVORABLE CERVIX
title_fullStr A COMPARISON OF FOUR METHODS OF RIPENING THE ‎UNFAVORABLE CERVIX
title_full_unstemmed A COMPARISON OF FOUR METHODS OF RIPENING THE ‎UNFAVORABLE CERVIX
title_short A COMPARISON OF FOUR METHODS OF RIPENING THE ‎UNFAVORABLE CERVIX
title_sort comparison of four methods of ripening the ‎unfavorable cervix
url https://bjsrg.uobasrah.edu.iq/article_57517_72892d45a8c1390c90e3dd0b2447cf4b.pdf
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