Induction Of Labour By Combined Methods Of Induction-Case Report

Abstract

The timely onset of labor is an important determinant of perinatal outcome. Induction of labour  or   the artificial initiation of  labour   ,  is   a   common intervention in modern obstetrics.   One of the most common reasons for labor induction   is postterm   pregnancy (i.e.  > 41 weeks of gestation). Pregnant woman G3P2 applied to   the   TSMU   The   First University Clinic at 41 weeks, induction of   labor   was    offered   to    her , by mechanical    method – Foleys  catheter  after written consent. Before and after  induction  of labour by mechanical method, we evaluated    uterine cervix   by  the same  3 points according to Bishop's scoring system. Since the pregnant woman did not have a   regular    uterine    contractions,  after  this mechanical method, a medical method of labor induction was offered to her, with the drug Cytotec (misoprostol), to which the pregnant woman again gave her written consent. The specified dose was given 1 time, after which a regular labor was established every 10 minutes 3 times with a duration of 35-40 seconds. The cervix was evaluated according to Bishop's  scoring   system with  8 points, an amniotomy was performed and the woman gave birth in 5 hours, without complications, the newborn was evaluated with 7/8 points according to the Apgar scoring system. We  suggest   that   Foley catheter in combination   with  oral misoprostol is  an alternative   way  for induction of labor.  The  combination   of   this   different methods of induction  reduces labor duration, which provide good outcome.