الفهرس 
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Abstract
The present study was a prospective randomized clinical trial that was conducted to compare the efficiency and safety of the intracervical foley catheter balloon plus vaginal misoprostol in comparison to vaginal misoprostol alone for induction of labor.
Two hundred pregnant women admitted for labor induction in the present study which was conducted at labor ward of Benha Health Insurance Hospital.
Women in this study were divided into two groups. (group A) of pregnant women were assigned for the use of vaginal misoprostol per standard protocol at 25 micrograms every 4 hours. In addition, 16-F Foley’s catheter inserted through the cervix into the lower uterine segment. The bulb was inflated with 30 ml of normal saline ; The Foley’s catheter was left in place for a maximum period of 12 hours or till its spontaneous expulsion or till a ripe cervix was reached (Bishop Score > 6).(group B)women were received 25 micrograms of misoprostol per vagina every 4 hours. Once the cervix became favorable (Bishop’s score >6) or the patient was in active labor, misoprostol administration was discontinued.
All pregnant women who met the inclusion criteria were submitted to full history taking, general, abdominal and vaginal examinations to determine the Bishop score and ultrasound scanning to exclude the presence of any of the exclusion criteria after obtaining an informed consent.
Record of the time of insertion of each treatment modalities was taken, time of subsequent dose and number of patients were given oxytocin in both groups when indicated, with respect that it was not started until 6 hours after the last dose.
Records were kept for occurrence of any complication, route of deliveries and time, and the neonatal outcomes including Apgar score atone and five minutes.
Statistical analysis of the obtained results showed the two groups to form a cohort being corresponding as regard mean age parity, estimated gestational age and the Bishop score.
Foley’s catheter use had significantly reduced the total time from induction till delivery.
Both treatment modalities under investigation had no effect on the route of delivery of the women. An Apgar score at one and five minutes and the need for neonatal intensive care unit admission have not any significant difference between the two methods.
Occurrence of complication with use of either method did not have any significant difference between them.
Based on the previous finding, it was concluded that foley’s catheter plus misoprostol and misoprostol alone were effective in induction of labor but the first method had a shorter time of achieving the desired effect.