Comparison of the Effectiveness of Hydrostatic Membrane Sweeping Versus Cervical Foley’s Balloon for Pre-Induction Cervical Ripening
Objective: To compare the efficiency of hydrostatic membrane sweeping verses cervical Foley’s ballooning alone in terms of mean bishop score and insertion delivery interval for induction of labor.
Methodology: A comparative data analysis was accompanied at Department of Obstetrics and Gynecology Unit, POF wah cantt. The duration of the study was 6 months conducted from Oct 2014 to April 2014 in which a total 500 were taken with 250 patients allocated in each group. In group A induction of labor done with cervical folleys balloon method and group with hydrostatic membrane sweeping. Data was collected sampling technique was nonprobability consecutive sampling technique and analyzed in terms of insertion delivery interval and improvement in mean bishop score .
Results: Regarding demographics, mean age of patients in Cervical Foley’s Balloon Method was 30 ± 1.24 years while mean age in Hydrostatic Membrane Sweeping was 31 ± 1.31years. Moreover improvement in mean bishop score in Cervical Foley’s Balloon Method was 4 ± 6.31 while improvement in mean bishop score in Hydrostatic Membrane Sweeping was 5 ± 4.95. Similarly mean Insertion delivery interval in Cervical Foley’s Balloon Method was 29 ± 3.41hours and mean Insertion delivery interval in Group B Hydrostatic Membrane Sweeping, was 24 ± 2.69hours.
Conclusion: Both foley’s catheter balloon method and hydrostatic membrane sweeping were cheap and safety profile is good .foley’s catheter gets the edge of being not expensive easily available, can be easily reversed and does not any need for storage. In majority of patients both improved the bishop score and vaginal delivery but hydrostatic membrane sweeping is more efficacious in improving bishop score and attaining vaginal delivery.
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