To determine the incidence of cesarean delivery with the induction of labor in patients with unfavourable cervix and favourable cervix. To compare the efficacy and effects of induction methods on mode of delivery.
Methodology: This is a prospective comparative study of 200 nulliparous women classified as groups. 1: Induction group with unfavorable cervix (Bishop score <5) A: Intracervical PGE2 gel, B: Foley catheter, C: tablet misoprostol. 2: Induction group with favorable cervix (Bishop score >5)-Amniotomy + oxytocin.
Results: Cesarean delivery rate was 31.3% among patients with unfavourable cervix and 16% with favorable cervix. Comparing Foley, PGE2 gel, misoprostol change in Bishop score was almost similar between Foley and misoprostol and more than PGE2.
Conclusion: Induction of labor in a term nulliparous patient resulted in significantly higher cesarean section rate with unfavourable cervix. Foley catheter for pre-induction cervical ripening have greater change in Bishop score.