Comparison Between Electve Labour Induction and Spontaneous Onset of Labour in Prolonged Pregnancy 75 (original) (raw)
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Induction of labour in prolonged pregnancy and its outcome
Medicine Today, 2015
from the January 2007 to June 2007. For the study 50 patients with uncomplicated prolonged pregnancy admitted during the study period were selected fulfilling the inclusion and the exclusion criteria. The study was conducted to evaluate the outcome of induction in prolonged pregnancy. From this study it was found that routine induction of labour at 41 to 42 weeks may be beneficial rather than continuing the pregnancy to have spontaneous labour which may increase the per perinatal mortality and morbidity. It was also found that due to routine induction of labour in prolonged pregnancy, vaginal delivery rate is more than caesarean section in multigravida than primigravida. Regarding the cause of failure of induction of labour it was found that the main causes are foetal distress and abnormal uterine action. The present study has proved that the use of Prostaglandin for cervical ripening, the delivery outcome can be improved. The study also showed that indiction of labour is not associated with any major intraprtum and postpartum foetal and maternal complication.
Study of Caesarean Section Rates in Induced Versus Spontaneous Labour at Term
2018
DOI: 10.21276/sjams.2018.6.10.89 Abstract: Over recent decades, more and more pregnant women around the world have undergone induction of labour (artificially initiated labour) to deliver their babies. A major concern of labour induction is that elective labour induction may increase the risk of caesarean section (CS). The purpose of this study was to evaluate the risk of Caesarean section with labour induction versus spontaneous labour in nulliparous and multiparous women at term in Indian population. To compare whether the caesarean section (CS) rate is significantly higher among whose labour was induced compared to those who had spontaneous labour at term pregnancy. A cross sectional descriptive study based on convenience sample in which available data from hospital is used. Data of women whose labour was either induced (induction group, n=713) or spontaneous (spontaneous group, n=1325) at 37 +0 to 41 +6 weeks of gestation from January 2017 to December 2017 at Mahatma Gandhi Medi...
International Journal of Current Research and Review, 2021
Introduction: Induction of labour is an intervention carried out to artificially initiate uterine contractions causing progressive dilatation and effacement of the cervix leading to vaginal delivery. There should be a clear medical indication for induction of labour. Induction of labour is a challenge to obstetricians, patients and fetuses. Objectives: To evaluate the causes of induction of labour and its neonatal outcome Material and Methods: The prospective observational study was conducted from July 2019 to December 2019 in the Depart
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2021
Background: As we know induction is done when benefit to mother and fetus overweigh benefits of continuing the pregnancy. According to NICE guidelines, induction of labor leads to 15% of instrumental deliveries and 22% of total LSCS. In new civil hospital, Surat (according to 2017) failure of induction of labor was 2nd most common indication of LSCS. The objective of this study were to analyse labor induction with respect to indication for induction of labor and its maternal outcome so that we optimize our protocol of labor and reduce our LSCS rates for the same, can reduce feto-maternal morbidities also.Methods: This was prospective observational descriptive study carried out over duration of 6 month. 200 consecutive cases of consenting women requiring induction of labour and fulfilling inclusion criteria were selected. Induction was done with prostaglandin analogous. Data were collected includes age, parity, gestational age, bishop score, indication of induction, and maternal outc...
South African Journal of Obstetrics and Gynaecology, 2021
Background. Although most pregnant women experience spontaneous labour at term, induction of labour is indicated whenever continuation of pregnancy is detrimental to either the fetus or the mother. Objectives. To study the factors associated with the successful induction of labour and to compare the maternal and fetal outcomes between induced and spontaneous labour. Methods. We conducted a prospective observational and comparative study from September 2015 to December 2016 at Dr TMA Pai Hospitala secondary level hospital at Manipal Academy of Higher Education (MAHE). Women with a singleton pregnancy, live fetus, vertex presentation and gestational age (GA) >36 weeks were included in the study, and those with antepartum haemorrhage, scarred uterus, anomalous fetus and intrauterine fetal demise were excluded. Results. Out of 1 575 deliveries during the study period, 550 were induced (34%). A total of 300 inductions fulfilled the inclusion criteria and formed the study group. Multiparity, body mass index (BMI) <25 and GA >38 weeks were factors associated with successful induction. Among the components of the Bishop score, dilatation was a better predictor of vaginal delivery (p<0.001) and postdated pregnancy was the most common indication (33.6%). The rates of caesarean section (CS) delivery (33% v. 12%) and neonatal intensive care unit (NICU) admissions (4% v. 1%) were more in the induced group compared with the spontaneous group. Conclusion. Multiparity, BMI <25 and advancing GA are predictors of successful induction. Induction is safe but carries a high risk of CS delivery and NICU admissions.
Perinatal and Maternal Outcome Associated With Induction of Labour
2016
Objective: To describe the maternal risk factors and maternal and perinatal outcome associated with labour induction. Design: A crosssectional study Setting: Gynae unit III SGRH, Lahore, from July 2007June 2010, a three years study. Patients and methods: All patients admitted for labour induction through outpatient department as well as emergency were included in the study. Main outcome measures: Indication for induction of labour, method of induction, risk factors for induction, success rate of each method and maternal and perinatal outcomes. Results: 5727 patients were admitted for induction of labour during the study period. The indications of labour induction were premature rupture of membranes (OR 3.29, 95% CI, 2.90, 3.73) prolonged pregnancy (OR 4.15,95%CI 3.82,4.50) IUGR, congenital anomaly or intrauterine deaths. The success rate of vaginal delivery was comparable for oxytocin and misoprostol with an overall success rate of 71.5% and C-section rate of 28.5%. Induction of lab...
Outcome of Induction of Labor: A Prospective Study
Annals of International medical and Dental Research, 2016
Background: Induction is defined as artificial initiation of uterine contraction with the aim of achieving the normal vaginal delivery. It is most widely accepted obstetrical intervention worldwide. The most common indication for induction is post dated pregnancy. Objective: To assess the outcome of induction in both mother and baby. Methods: During our study period, 391 patients were selected for induction due to various indications. Most of them were induced with tablet Misoprostol and only those with higher degree of gravida were induced with Dinoprostone gel intracervically and maternal and fetal outcome was seen.Results: Out of 4020 patients, induction rate was 9.72%. Among them 98.2% were induced with Misoprostol. Most of the induced age group was in between 20-30 years of age with primigravida 62%. Among them 48.59% were in between 40-41 weeks of gestation with 93% of having poor bishops score. About 67.7% had normal vaginal delivery with 4.86%, assisted with instrumental delivery. Cesarean section was seen in 32.3% of patients. Most common indications for LSCS were for failed induction (44%). Regarding the fetal outcome 99.7% born alive, 97.92% went to mother side, 2.07% admitted and 0.51% expired. Beside this, 88.7% had birth weight between 2.5 to 3.5 kg and 87.4% had clear liquor and 99.22% had the good apgar score. Conclusion: Though the cesarean section rate is higher in this study in comparison of WHO references to be not more than 15% but still the induction is beneficial in high-risk pregnancy where continuing the pregnancy is more hazardous than to termination.
Indian Journal of Obstetrics and Gynecology Research
The present study was a prospective observational study done to evaluate elective induction of labour (e-IOL)* in overdate pregnancies (40 1/7 to 40 6/7 weeks) versus expectant management (EM)* up to 41 weeks. The primary objective was to compare rates of Caesarean section among the two groups. Study design: Women at 40 weeks of gestation satisfying the inclusion and exclusion criteria were recruited for the study. Total sample size was 112. The e-IOL group 1, included 56 participants who were induced at 40 1/7 to 40 6/7 weeks of gestation and EM group 2 had 56 participants, who were given expectant management till 41 weeks of gestation. Group 2 was further divided as group 2a who went into spontaneous labour while on expectant management and group 2b as those who were induced while on expectant management for maternal / fetal reasons or ≥ 41 0/7 weeks of gestation.Expectant management till 41 weeks of gestation beyond the due date increased the likelihood of spontaneous labour with...
High risk pregnancy outcome following induction of labour
European Journal of Obstetrics & Gynecology and Reproductive Biology, 1997
Objective: To evaluate whether induction of labour, performed in a high risk obstetric population, when medically indicated, carries an increased risk for operative delivery and maternal and fetal complications. The secondary goal was to study the effect of the various induction methods used on these outcomes and labour time. Stud)' design: This study was carried out at a level III university hospital. A group of 210 women who were induced for various indications, were compared to our general parturient population. Main outcome measures were cesarean section (CS) and instrumental delivery rates, intra-partum and post-partum complications, APGARs 1' and 5' and labour time by induction method. Results: No significant increase in the rates of primary CS (8.6 vs. 7.1%) and instrumental delivery (15.7 vs. 12.7%), were found in the induction high risk group as compared to our general obstetric population. Intra-partum complications and fetal outcome were comparable in both groups. A comparison of methods of induction used (oxytocin, PgE2, Amniotomy) revealed a less favorable outcome with the oxytocin induction method which showed an elevated intra-partum complication rate (P < 0.01) and a tendency toward lower Apgar scores and higher CS rate. Conclusions: Induction of labour performed in a high-risk obstetric population is safe, carrying no significant increase in CS and neonatal complication rates. Of the three methods of induction used, oxytocin induction showed the least favorable outcome for both mother and her offspring. © 1997 Elsevier Science Ireland Ltd.
Canadian Medical Association Journal, 2014
CMAJ Background: Induction of labour is common, and cesarean delivery is regarded as its major complication. We conducted a systematic review and meta-analysis to investigate whether the risk of cesarean delivery is higher or lower following labour induction compared with expectant management.