Comparative outcome of induced labor by intracervical Foley catheter with misoprostol versus misoprostol alone

Aim: To evaluate the comparative outcome of induced labor by intracervical Foley catheter with misoprostol versus misoprostol alone. Materials & methods: A total of 1306 women were enrolled over 4 years, induced with either intracervical Foley with misoprostol or misoprostol alone and compared in terms of induction-delivery interval, mode of delivery, the presence of uterine tachysystole, postpartum hemorrhage and perinatal outcome. Results: Induction to delivery interval, the duration between induction to active labor was significantly reduced, deliveries within 24h were significantly higher and the number of misoprostol doses used was significantly less in Foley with misoprostol group. Conclusion: The outcome of combination of intracervical Foley catheter and misoprostol is superior for labor induction, without affecting maternal or perinatal outcome.