Comparison of catheter induction versus catheter induction with extra amniotic saline infusion for labour induction

Introduction: Induction of labour can be defined as the artificial initiation of labour, before its spontaneous onset, for the purpose of delivery of the fetoplacental unit2,3. Induction is indicated when the risk of continuing the pregnancy, for the mother or the fetus, exceeds the risk associated with induced labour and delivery. In developed countries, induction of labour accounts for about 25% of all deliveries. In developing countries, the rates vary; lower in some regions and high in some regions4. Materials and methods: This prospective observational study was performed over a period of 1.5 years in 140 pregnant women with gestational age of 37-42 weeks with singleton pregnancy . This Study Was performed in the Postgraduate department of obstetrics and gynaecology at Lalla Ded hospital Srinagar after obtaining approval from institutional ethical clearance committee. Conclusion: Our data supported the fact that addition of Extra amniotic saline in catheter induction can be considered as one of the first line methods in labour induction. Catheter induction with extra amniotic saline infusion leads to shorter induction to delivery intervals compared to plain catheter induction. Our study also highlighted that the rate of cesarean delivery in catheter induction with extra amniotic saline is comparatively less. There are no differences in the neonatal APGAR scores and NICU admissions in induction with the extra amniotic saline infusion or plain catheter induction. The potential risk of chorioamnionitis or endometritis in the catheter induction with EASI infusion is same as that of foleys induction alone