Samreen Iqbal, Samia Shuja, Nasreen Fatima.
Outcome of Induction of Labour with Intracervical Foley Catheter in Women with Previous One Caesarean Section.
J Surg Pak Jan ;20(2):44-7.

Objective: To compare the rates of vaginal delivery after one caesarean section in mechanically induced and spontaneous labour. Study design: Cross Sectional Study. Place & Duration of study: Department of Obstetrics and Gynecology Unit–II, Jinnah Postgraduate Medical Centre Karachi, from January 2011 to July, 2011. Methodology: Pregnant women with one previous caesarian section were included in the study after informed consent. They were divided into two groups. Group I included women in whom labour occurred spontaneously. Those women who did not enter into labour up to 40 weeks of gestation were put into group II. They were induced with intracervical Foley catheter. Satisfactory outcome measure was the vaginal birth. Results: A total 112 patients were included. Significant difference was not observed between groups in relation to mode of delivery (Chi square = 1.09, p=0.57). Out of 112 pregnant women, satisfactory outcome was observed in 74 (66.1%), which was not significant between the two groups (66.1% vs. 66.1% p=0.999). Conclusion: Mechanical induction of labour in patients with previous one caesarean section is the reasonable option, when patients are carefully and properly selected, coupled with vigilant intrapartum monitoring.

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