{"title":"2022 年埃塞俄比亚 Gedeo 区公立医院宫颈成熟引产中使用 Foley 导管与阴道米索前列醇的效果比较。准实验设计","authors":"Tesfaye Temesgen , Zerihun Figa , Rediet Gido , Dr.Fitsum Solomon , Asrat Alemu , Melkam Andargie , Fikru Bedecha , Meresa Berwo","doi":"10.1016/j.ijans.2024.100734","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>This study aims to evaluate the effectiveness of two methods commonly used to induce labor in women with an unfavorable cervix, which is Misoprostol and <em>trans</em>-cervical Foley catheterization.</p></div><div><h3>Method</h3><p>A total of 120 pregnant women who met the inclusion criteria and were scheduled for induction were recruited for this study. Group 1 comprised 60 women who received the Foley catheter, and Group 2 comprised 60 women who received Misoprostol. The data analysis was done using SPSS version 25, and the student’s independent <em>t</em>-test and chi-square analysis were used to compare the means and proportions of continuous and categorical variables, respectively. The level of statistical significance was set at P < 0.05.</p></div><div><h3>Results</h3><p>The results showed that 41 (68.3 %) participants in the Foley catheter group and 49 (81.7 %) participants in the Misoprostol group had a favorable cervix within 24 h. The mean time interval from the start of ripening to a favorable cervix was shorter in the Misoprostol group (10.27 + 2.506) than in the Foley catheter group (11.78 + 2.151). The successful outcome of the induction was 33 (80.5 %) in the Foley catheter group and 35 (71.4 %) in the Misoprostol group.</p><p>Conclusion and recommendation: misoprostol was a more effective method of cervical ripening than the Foley catheter, resulting in a higher rate of favorable cervix in a shorter time frame. Further research is recommended with different study designs and larger sample sizes.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"20 ","pages":"Article 100734"},"PeriodicalIF":0.0000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000799/pdfft?md5=0f0593ff37f79a8bdb14f0680504ff88&pid=1-s2.0-S2214139124000799-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Comparison of effectiveness of Foley catheter versus vaginal misoprostol for cervical ripening in induction of labour in Gedeo zone public hospitals, Ethiopia, 2022. Quasi-experimental design\",\"authors\":\"Tesfaye Temesgen , Zerihun Figa , Rediet Gido , Dr.Fitsum Solomon , Asrat Alemu , Melkam Andargie , Fikru Bedecha , Meresa Berwo\",\"doi\":\"10.1016/j.ijans.2024.100734\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>This study aims to evaluate the effectiveness of two methods commonly used to induce labor in women with an unfavorable cervix, which is Misoprostol and <em>trans</em>-cervical Foley catheterization.</p></div><div><h3>Method</h3><p>A total of 120 pregnant women who met the inclusion criteria and were scheduled for induction were recruited for this study. Group 1 comprised 60 women who received the Foley catheter, and Group 2 comprised 60 women who received Misoprostol. The data analysis was done using SPSS version 25, and the student’s independent <em>t</em>-test and chi-square analysis were used to compare the means and proportions of continuous and categorical variables, respectively. The level of statistical significance was set at P < 0.05.</p></div><div><h3>Results</h3><p>The results showed that 41 (68.3 %) participants in the Foley catheter group and 49 (81.7 %) participants in the Misoprostol group had a favorable cervix within 24 h. The mean time interval from the start of ripening to a favorable cervix was shorter in the Misoprostol group (10.27 + 2.506) than in the Foley catheter group (11.78 + 2.151). The successful outcome of the induction was 33 (80.5 %) in the Foley catheter group and 35 (71.4 %) in the Misoprostol group.</p><p>Conclusion and recommendation: misoprostol was a more effective method of cervical ripening than the Foley catheter, resulting in a higher rate of favorable cervix in a shorter time frame. Further research is recommended with different study designs and larger sample sizes.</p></div>\",\"PeriodicalId\":38091,\"journal\":{\"name\":\"International Journal of Africa Nursing Sciences\",\"volume\":\"20 \",\"pages\":\"Article 100734\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2214139124000799/pdfft?md5=0f0593ff37f79a8bdb14f0680504ff88&pid=1-s2.0-S2214139124000799-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Africa Nursing Sciences\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2214139124000799\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"Nursing\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Africa Nursing Sciences","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2214139124000799","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Nursing","Score":null,"Total":0}
Comparison of effectiveness of Foley catheter versus vaginal misoprostol for cervical ripening in induction of labour in Gedeo zone public hospitals, Ethiopia, 2022. Quasi-experimental design
Background
This study aims to evaluate the effectiveness of two methods commonly used to induce labor in women with an unfavorable cervix, which is Misoprostol and trans-cervical Foley catheterization.
Method
A total of 120 pregnant women who met the inclusion criteria and were scheduled for induction were recruited for this study. Group 1 comprised 60 women who received the Foley catheter, and Group 2 comprised 60 women who received Misoprostol. The data analysis was done using SPSS version 25, and the student’s independent t-test and chi-square analysis were used to compare the means and proportions of continuous and categorical variables, respectively. The level of statistical significance was set at P < 0.05.
Results
The results showed that 41 (68.3 %) participants in the Foley catheter group and 49 (81.7 %) participants in the Misoprostol group had a favorable cervix within 24 h. The mean time interval from the start of ripening to a favorable cervix was shorter in the Misoprostol group (10.27 + 2.506) than in the Foley catheter group (11.78 + 2.151). The successful outcome of the induction was 33 (80.5 %) in the Foley catheter group and 35 (71.4 %) in the Misoprostol group.
Conclusion and recommendation: misoprostol was a more effective method of cervical ripening than the Foley catheter, resulting in a higher rate of favorable cervix in a shorter time frame. Further research is recommended with different study designs and larger sample sizes.
期刊介绍：
International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.
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