Benha University

Ahmed Waleed Anwar Morad Mohamed

Professor

Faculty of Medicine OBSTETRIC & GYNECOLOGY

Vaginal Isosorbide Mononitrate versus Transcervical Foley’s Catheter for Cervical Ripening and Induction of labor. Ain Shams Medical Journal 2011; 62 (10, 11, 12)

Ain Shams Medical Journal • 2011
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Publication Information
Authors Ahmed walid Anwar Morad
Keywords Intracervical catheter, nitric oxide donor, isosorbide mononitrate, cervical ripening, induction of labor.
Journal Ain Shams Medical Journal
Publisher Not Available
Volume 62
Issue 10, 11, 12
Pages 993-1002
publication.type Local
Paper Link Open Link
Supplementary Materials Not Available
Abstract
Objectives: To compare the efficacy and safety of vaginal nitros oxide (NO) donors, isosorbide mononitrate (IMN), and intracervical Foley’s catheter for cervical ripening and labor induction in singleton pregnancies.
Type of study: Prospective comparative cohort study.
Setting: Department of Obstetrics and Gynecology, Faculty of Medicine, Benha University and a private center.
Patients & Methods: One hundred twenty pregnant candidates for pre-induction cervical ripening were randomly divided into 2 equal groups, Group-I ;( n=60) induction of labor (IOL) was done with intracervical Foley’s catheter, and Group-II ;( n=60, but 2 women refused to complete the study and their results were excluded), IOL was done with vaginal isosorbide mononitrate (IMN).
Results: There was no significant difference between intracervical Foley’s catheter and intravaginal IMN as regard their success in producing cervical ripening and labor induction {50/60 (83.3%) vs.45/58(77.6%); p>0.05}. In catheter group, there were significantly shorter induction delivery interval (19.7±7.2 hours vs. 24.3±7.0 hours; P
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