الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Induction of labor in cases of patient suffering from IUFD is aspecial variety of labor induction as all mother’s struggle during pregnancy is the gain of healthy baby but in those of IUFD the matter is different because now the only benefits are the extraction of these poor mother from these bad luck by avery small sacrifications so induction of labour coup with these strategy.
It is indicated when interrupting the pregnancy is thought to be advantageous for the mother or baby and is often carried out for postdate pregnancies (>41 weeks’ gestation), where it has been shown to decrease perinatal mortality. As perinatal mortality and fetal compromise increase progressively with gestation beyond 37 weeks, induction of labour between 37 and 41 weeks has the potential to improve neonatal outcomes. Some studies have suggested that elective induction of labour (the induction of labour in the absence of medical indications) after 37 weeks’ gestation is associated with increased obstetric intervention, particularly caesarean delivery. Conversely, when induction of labour is carried out after 37 weeks’ gestation in the presence of medical indications such as gestational hypertension, it reduces the risk of adverse maternal outcomes.
The main aim of our study to avoid termination of pregnancy In cases of mother’s IUFD was the avoidance Hysterotomy or CS as method for termination of pregnancy.
The study was composed of totally 200 cases divided into 2 groups where group 1 would study the use of Foley’s catheter as method for induction of labor in cases of mother’s complaining of IUFD of gestational age above 20 weeks with scarred uterus and group 2 would study the use of cooks cervical Ripening balloon catheter as method for induction of labor in cases of mother’s complaining of IUFD of gestational age above 20 week with scarred uterus
The results mostly support the upper hand of cooks cervical Ripening balloon catheter where it show enhancement in BISHOP score after it’s slippage (11) than groug 1(9)
,Also times related to the power of cervical ripening were in side of group 2 when were:
Time till catheter slippage was (8.5hr) when group 1(12.2hr).
Time till catheter expulsion was (28.5hr) when group 1(18.6hr).
The ripening success was suooprting group 2(97%) where(90%) for group1.
The failure of ripening success was suooprting group 2(3%) where(10%) for group 1 ( MANAGED BY CAESAREAN SECTION).
The failure of Vagiprost(PGE1) for progression of labor was suooprting group 2(1%) where(3%) for group 1
The occurance of retained placenta was suooprting group 2(2%) where(5%) for group 1.
The occurance of infection was suooprting group 2(2%) where(3%) for group 1.
So cooks cervical ripening double balloon catheter is superior on Foley’s catheter when used for labor induction in cases of women complaining of IUFD gestational age more than 20 weeks.