The Comparison Of The Success Rates Of The Prostaglandin E2 (PGE2) Versus Foley Catheter In Females With Postdate Pregnancy
Objective: Postdate pregnancies, defined as pregnancies that extend beyond the 40th-week gestation, are associated with an increased risk of adverse maternal and fetal outcomes. Consequently, there is a clinical need to manage these pregnancies effectively to prevent complications. Two common metho...
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Rawalpindi Medical University
2025-01-01
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| Series: | Journal of Rawalpindi Medical College |
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| Online Access: | https://www.journalrmc.com/index.php/JRMC/article/view/2605 |
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| author | Qamarunissa Muhabat Khan Khadija Mastoor Amna Javaid Tahira Raza Sadia Ilyas Safoora Anjum |
| author_facet | Qamarunissa Muhabat Khan Khadija Mastoor Amna Javaid Tahira Raza Sadia Ilyas Safoora Anjum |
| author_sort | Qamarunissa Muhabat Khan |
| collection | DOAJ |
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Objective: Postdate pregnancies, defined as pregnancies that extend beyond the 40th-week gestation, are associated with an increased risk of adverse maternal and fetal outcomes. Consequently, there is a clinical need to manage these pregnancies effectively to prevent complications. Two common methods for inducing postdate pregnancies are the use of Foley catheters and prostaglandins. To determine the success rates of the Foley catheter and prostaglandin E2 (PGE2) in females with postdate pregnancy.
Methods: 162 female participants were randomly divided into two groups through the lottery method. Group A utilised a Foley catheter, where after speculum examination, a 16F standard Foley catheter was aseptically inserted above the internal cervical os and inflated with 30ml of sterile water. In Group B, PGE 2 gel was administered, with nulliparous women receiving an initial dose of 2 mg per vaginum (PV) and parous women receiving 1mg PV. The gel was inserted into the posterior vaginal fornix. Success was defined as female giving within 24 hours. The data was analyzed using SPSS version 25.
Results: The mean age of patients was 30.35 ± 6.89 years. Success was observed in 87(53.7%) patients, while 75(46.2%) patients did not achieve success. The study findings revealed that success was attained by 30(34.4%) individuals in group A and 57(65.5%) in group B. A statistically significant difference was observed between groups regarding the success of patients. i.e., p-value (<0.05)
Conclusion: A study concludes that Prostaglandin E2 (PGE2) showed significantly higher success rates for achieving vaginal delivery within 24.0 hours when compared to Foley catheters in female individuals with postdate pregnancies.
Key words: Pregnancy, Prostaglandins E2; Cervical Ripening; Pregnancy Outcome; Labour.
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| format | Article |
| id | doaj-art-92c50fc8b1e84f88a536fcd96d4f50f9 |
| institution | Kabale University |
| issn | 1683-3562 1683-3570 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Rawalpindi Medical University |
| record_format | Article |
| series | Journal of Rawalpindi Medical College |
| spelling | doaj-art-92c50fc8b1e84f88a536fcd96d4f50f92025-02-06T08:34:03ZengRawalpindi Medical UniversityJournal of Rawalpindi Medical College1683-35621683-35702025-01-0128410.37939/jrmc.v28i4.2605The Comparison Of The Success Rates Of The Prostaglandin E2 (PGE2) Versus Foley Catheter In Females With Postdate PregnancyQamarunissa Muhabat Khan0Khadija Mastoor1Amna Javaid2Tahira Raza3Sadia Ilyas4Safoora Anjum5Aga Khan Maternal and child care hospital hyderabadUniversity college of medicine and dentistry, LahoreGeneral hospital, lahoreCMH Lahore Medical collegeGhurki Trust Teaching Hospital Lahore University college of medicine and dentistry teaching hospital, Lahore Objective: Postdate pregnancies, defined as pregnancies that extend beyond the 40th-week gestation, are associated with an increased risk of adverse maternal and fetal outcomes. Consequently, there is a clinical need to manage these pregnancies effectively to prevent complications. Two common methods for inducing postdate pregnancies are the use of Foley catheters and prostaglandins. To determine the success rates of the Foley catheter and prostaglandin E2 (PGE2) in females with postdate pregnancy. Methods: 162 female participants were randomly divided into two groups through the lottery method. Group A utilised a Foley catheter, where after speculum examination, a 16F standard Foley catheter was aseptically inserted above the internal cervical os and inflated with 30ml of sterile water. In Group B, PGE 2 gel was administered, with nulliparous women receiving an initial dose of 2 mg per vaginum (PV) and parous women receiving 1mg PV. The gel was inserted into the posterior vaginal fornix. Success was defined as female giving within 24 hours. The data was analyzed using SPSS version 25. Results: The mean age of patients was 30.35 ± 6.89 years. Success was observed in 87(53.7%) patients, while 75(46.2%) patients did not achieve success. The study findings revealed that success was attained by 30(34.4%) individuals in group A and 57(65.5%) in group B. A statistically significant difference was observed between groups regarding the success of patients. i.e., p-value (<0.05) Conclusion: A study concludes that Prostaglandin E2 (PGE2) showed significantly higher success rates for achieving vaginal delivery within 24.0 hours when compared to Foley catheters in female individuals with postdate pregnancies. Key words: Pregnancy, Prostaglandins E2; Cervical Ripening; Pregnancy Outcome; Labour. https://www.journalrmc.com/index.php/JRMC/article/view/2605Female, Foley catheter, Prostaglandin, Pregnancy, Success |
| spellingShingle | Qamarunissa Muhabat Khan Khadija Mastoor Amna Javaid Tahira Raza Sadia Ilyas Safoora Anjum The Comparison Of The Success Rates Of The Prostaglandin E2 (PGE2) Versus Foley Catheter In Females With Postdate Pregnancy Journal of Rawalpindi Medical College Female, Foley catheter, Prostaglandin, Pregnancy, Success |
| title | The Comparison Of The Success Rates Of The Prostaglandin E2 (PGE2) Versus Foley Catheter In Females With Postdate Pregnancy |
| title_full | The Comparison Of The Success Rates Of The Prostaglandin E2 (PGE2) Versus Foley Catheter In Females With Postdate Pregnancy |
| title_fullStr | The Comparison Of The Success Rates Of The Prostaglandin E2 (PGE2) Versus Foley Catheter In Females With Postdate Pregnancy |
| title_full_unstemmed | The Comparison Of The Success Rates Of The Prostaglandin E2 (PGE2) Versus Foley Catheter In Females With Postdate Pregnancy |
| title_short | The Comparison Of The Success Rates Of The Prostaglandin E2 (PGE2) Versus Foley Catheter In Females With Postdate Pregnancy |
| title_sort | comparison of the success rates of the prostaglandin e2 pge2 versus foley catheter in females with postdate pregnancy |
| topic | Female, Foley catheter, Prostaglandin, Pregnancy, Success |
| url | https://www.journalrmc.com/index.php/JRMC/article/view/2605 |
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