Comparison of Induction of Labour with Dinoprostone Gel versus Mechanical Dilatation in Unfavourable Cervix of Andhra Pradesh Females

Background: Induction of labor is a common obstetric intervention in developing countries. Pharmacological and mechanical methods are used commonly, such as prostaglandins and various intra-cervical catheters (single or double balloon) at the expense of many hindrances. Methods: Out of 280 pregnant women (gestation after 37 weeks) were studied. 140 pregnant women (group I) received dinoprostone gel intracervically, and 140 pregnant women (group II) were administered with catheter No. 18 through the canal with visualization of cervical OS. The balloon was filled with 50 ml of sterile water, and the catheter tapped on the inner thigh to maintain traction. Results: The baseline characters in gravidity, comparison of labor profile, maternal outcome, and maternal and neonatal complications had significant p-values (p < 0.001). Conclusion: It is observed that group I dinoprostone gel had more rapid cervical ripening, shortening induction to vaginal delivery Interval within 24 hours. Hence, the dinoprostone gel technique is more preferred than mechanical dilatation in an unfavorable cervix.