Comparison of Extra Amniotic Foleys Catheter Balloon with Traction Versus the Combined Use of Foleys Catheter Balloon Plus Extra-Amniotic Instillation of Pgf2 Alpha in Termination of Second-Trimester Pregnancy

Abstract

Objective: To compare the efficacy of intracervical catheter balloon with traction versus intracervical catheter and instillation of pgf2 alpha for termination of mid trimester pregnancy.

Study Design: Randomized controlled trial study

Place and Duration of Study: This study was conducted at the Department of Gynae and Obstetrics, Mardan Medical Complex Teaching Hospital Mardan for 6 months from January 2016 to June, 2016.

Materials and Methods: Consecutive non-probability sampling technique was used. Patients were grouped randomly into two groups by simple lottery method. The group 1 patients were induced with intracervical catheter balloon with traction while patients in group 2 were induced with intracervical catheter balloon and instillation of PGF2-alpha extra-amniotic space. The duration required for expulsion and efficacy of treatment was noted.

Results: The mean age of the patients was 29.68±6.46 years with the mean gestational age of 20.63±4.01 weeks. The need for E&C was found in 17.24% patients and efficacy was observed in 56.90% patients. Statistically, there is a significant difference between the efficacy in study groups of the patients i.e. p-value=0.004.

Conclusion: Foley+PGF2 is found to have more effective and satisfactory results as compared to Foleys catheter alone for termination of second-trimester pregnancy.