Comparison between Medical and Mechanical Method (Foley's) of Termination of Pregnancy in second trimester in Previously Scarred Uterus

Background: Obstetricians are faced with the difficulty of ending pregnancies in women who have scars on their uteruses because to the global trend of an increased prevalence of cesarean sections. The present study compares mifepristone against Foley's catheter for termination in uteri with prior scarring which will help the obstetricians in deciding which procedure has less complications and better efficacy that will enhance the quality of life of women having second trimester abortions. Aim & Objectives: To assess the safety and effectiveness of using mifepristone versus Foleys bulb for termination of pregnancy in previous LSCS and hysterotomy and compare the efficacy of medical versus mechanical induction and potential risks or adverse effects. Material and Methods: 40 pregnant women with the gestational age of 12 - 28 weeks participated in this hospital - based observational research which lasted for 12 months at Muzaffarnagar Medical College & Hospital in Muzaffarnagar, Uttar Pradesh. Chi square and t test were used in the statistical analysis of the data. Results: The participants ranged in age from 20 - 35 years old. Both Group M and Group B comprised the highest percentage of patients in age group 26 - 30 years i.e. 55% and 50% respectively. Mean induction to interval of labour (in hrs), induction to augmentation interval, and induction to interval of delivery (in hrs) was more in Group B than the mifepristone group (Group M) (p < 0.05). In Mifepristone group, maximum reported complication was fever i.e. 4 cases experienced fever while in Foleys Bulb group, 7 cases had need for instrumentation (suction and evacuation). Conclusion: Mean induction to labour interval (in hrs), induction augmentation interval, and induction to delivery interval (in hrs) was more in Foleys bulb group (Group B) than the mifepristone group (Group M), being statistically significant. So, we conclude that mifepristone can be a better method for termination of pregnancy in scarred uterus as compared to Foley's catheter.