Volume - 13 | Issue-1
Volume - 13 | Issue-1
Volume - 13 | Issue-1
Volume - 13 | Issue-1
Volume - 13 | Issue-1
Background: In recent times, the utilization of Foley's balloon in conjunction with extra-amniotic saline infusion has emerged as a promising strategy to facilitate successful labor induction while minimizing risks associated with repeat cesarean sections. This research paper embarks on a comprehensive investigation to elucidate the success rate and potential complications of this innovative approach, seeking to contribute valuable insights into the realm of obstetric management. Methods: The present study constitutes a prospective observational investigation conducted within the distinguished Postgraduate Department of Obstetrics and Gynaecology at LallaDed (LD) Hospital, Government Medical College Srinagar, spanning a comprehensive duration of one and a half years. With an envisaged attainment rate ranging from 60% to 85%, the minimum requisite sample size at a confidence interval of 95% and a margin of error set at 10% has been established at 90 participants. Results: Mean gestational age was 34.1+4.76 weeks, with 48.9% falling between 37-40 weeks. Successful cervical ripening was observed in 71.1%, while 28.9% experienced failed induction. Younger age related to lower successful cervical ripening, and higher gravidity reduced failed induction rates. Normal vaginal delivery was achieved in 68.9%, with 31.1% undergoing lower segment caesarean section. Conclusion: Cervical ripening using Foley's catheter with extra amniotic saline shows highly favorable outcomes, minimal adverse effects, and effective vaginal delivery. It elevates post-induction Bishop scores, shortens induction duration, reduces pain, and lowers induction failure chances, leading to positive maternal and fetal results. Thus, it is a promising option for labor induction in women with a previous lower segment cesarean section, potentially reducing cesarean rates.