Comparison of Maternal and Foetal Outcome Between Induced Labour and Spontaneous Labour in Low Risk Pregnancy in Primigravida (original) (raw)
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International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2022
Background: The objective of the study was to compare maternal and foetal outcome after induction in two groups: women who were induced at 40-weeks and at 41-weeks.Methods: This was a retrospective study conducted over period of one year from 1 January 2018 to 31 December 2018 in the obstetrics and gynaecology department. A total of 200 uncomplicated primigravida women were included in the study. The data was collected and comparative analysis was done between two groups: control group (group A), women with induction at 40 weeks; study group (group B), women with induction at 41 weeks. The outcome was then analysed in terms of mode of delivery, oligohydramnios, meconium-stained liquor, Apgar score, need of NICU, perinatal death. The data was collected, analysed and statistical analysis was done using the Chi square test.Results: Out of total 200 women, 104 women were of 40 weeks and 96 women had completed 41 weeks. The LSCS rate was reduced from 25.96% to 17.7%, when the labour was ...
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2017
Background: The aim of the study was to evaluate the indications and outcomes of failed induction in primigravidae in a tertiary care hospital located in a health resource poor setting.Methods: We conducted a retrospective cross-sectional study on women admitted in the labor room and planned for induction of labor in Assam Medical College and Hospital, Dibrugarh from 1st July 2016 to 31st May 2017. Induction was considered successful if the patient delivered vaginally and failed if it ended up in Caesarean section.Results: A total of 201 primigravida patients were selected for the study of which 135 patients delivered by CS and 66 patients by spontaneous vaginal delivery. The average induction-delivery interval was found to be 18.9 hours. Average weight of the babies was 2.9 kg. The following factors are associated with increased rates of failed induction: Bishop’s score less than 5, Gestational age >41 weeks, teenage and elderly primi, oligohydramnios, prelabour rupture of membr...
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.
COMPARISON OF PROGRESSION OF SPONTANEOUS VERSUS INDUCED LABOR IN PRIMI AND MULTIPAROUS WOMEN
Asian Journal of Pharmaceutical and Clinical Research, 2021
Objectives: The objectives of the study were to compare progression of spontaneous versus induced labor in primigravida and multigravida women. Methods: Pregnant women admitted in Labor room of Bebe Nanaki mother and Child Care Centre, Amritsar during April 2019-March 2020 were selected for this study. A total of 200 pregnant women were selected and divided into two groups. Women in group A were induced while in group B were women with spontaneous onset of labor. Labor progression in both was compared. Results: In group A, the mean duration of the active phase in primigravida was 4.08±2.30 h and in multigravida was 4.02±2.20 h. In group B, the mean duration of active phase in primigravidas was 7.24±1.39 h and in multigravidas was 6.48±1.40 h. In group A, the mean duration of the second stage in a primigravida was 25.5±8.15 min and in a multigravida was 17.38±9.95 min. In group B, the mean duration of the second stage in a primigravida was 41.3±9.6 min, while in a multigravida was 22.72±6.2 h. Discussion: The mean duration of active phase in group A in the primigravida and multigravida was almost similar, showing that induction does not have any effect on the duration of active phase. The mean duration of the second stage of group A in primigravida was 25 min and multipara was 17 min showing that induction reduces the duration of the second stage. Conclusion: Induction of labor when done at the right gestational age for correct indication is beneficial to women as it reduces the complications caused due to the continuation of high-risk pregnancies.
A Study of Maternal and Foetal Outcomes in Cases of Induction of Labour in a Tertiary Care Centre
2020
The aim of the present study was to assess indications for induction, various methods of induction used, the mode of delivery and study of the maternal and foetal outcome. Inclusion criteria were singleton pregnancies with cephalic presentation. Multifetal pregnancies, pregnancies, previous caesarean sections were excluded. Indications, pre-induction Bishop scores, mode of delivery and adverse maternal and foetal outcomes were registered. Most common indications were post datism (57.78 %), premature rupture of membranes (22.22 %), oligohydramnios (13.33 %), Non reassuring foetal heart status (4.44 %), & PIH (2.22%). About 84 % of inductions were done at gestational age 37 weeks and more. Induction of labour resulted in normal vaginal delivery in 60% of cases. GJMR-E Classification: NLMC Code: WQ 200 AStudyofMaternalandFoetalOutcomesinCasesofInductionofLabourinaTertiaryCareCentre Strictly as per the compliance and regulations of: Global Journal of Medical Research: E Gynecology and O...
Basrah Journal of Surgery, 2010
Prolonged pregnancy is the most frequent reason for induction of labour as obstetricians are concerned about the risk of prolonged pregnancy on both fetus and mothers. The study aimed to determine the effects and risks of labour induction on delivery outcome compared to spontaneous labour in pregnant women with prolonged pregnancy. This is a prospective case control study done in Basra Maternity and Child Hospital between January 2007 and may 2008 included 200 pregnant women at 42 weeks of gestation who were compared to 200 age and parity matched pregnant women with spontaneous onset of labour at 42 weeks and information about management of labour, maternal and fetal risks and outcome were collected. Our data revealed that the duration of first stage of labour, oxytocin use and rate of caesarean section were significantly increased in the induction group compared to the control group and that primigravidae with prolonged pregnancy who had induction of labour had increased rate of secondary interventions (caesarean section and vacuum extraction) compared to Primigravida in the control group. Babies delivered for mothers who had spontaneous onset of labour had significant lower APGAR score than those babies delivered for mothers who had their labour induced for prolonged pregnancy. In conclusion, Induction of labour for prolonged pregnancy is safe procedure but Primigravidae should be informed for the increase risks of caesarian section and vacuum extraction.
Study of the Risk Factors for Cesarean Delivery in Induced Labors at Term
The Journal of Obstetrics and Gynecology of India, 2014
Background Induction of labor has become one of the most common interventions in obstetrics. Induction is indicated when the benefits to either mother or fetus outweigh those of continuing the pregnancy. Maternal complication rates that are increased in association with labor induction include cesarean delivery, chorioamnionitis, abruptio placentae, and uterine atony. So identifying those pregnancies that can be induced with low risk of cesarean delivery is important. The aim of this study was to identify those factors which influence the risk of emergency cesarean delivery in induced labors at term. Methods It is a case-control study conducted at Tertiary care center and affiliated hospitals. In this study, odds ratio with 95 % confidence interval is taken as a measure of relative risk. Patients were evaluated for risk factors for cesarean section using logistic regression. Cases include all women who were induced at term and delivered by emergency cesarean section. Controls include all women who were induced at term and delivered vaginally. Results The risk factors for cesarean delivery are advanced maternal age at delivery (C35 years), high early pregnancy body mass index (C30 kg/m 2), nulliparity, low preinduction Bishops score (\5), gestational diabetes mellitus, and intrauterine growth restriction. Conclusion Women with multiple risk factors for cesarean can be taken up for elective cesarean section rather than inducing them at term.
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.
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...
NULLIPAROUS WOMEN: EXAMINING FETAL AND MATERNAL OUTCOMES IN INDUCED VERSUS SPONTANEOUS LABOR
National Journal of Medical Research, 2023
Introduction: The goal of modern obstetrics is to enhance feto-maternal health. In certain cases, interventions are required to safe-guard it. The most frequent interventional procedure is currently in-duction of labour. This study was conducted to assess feto-maternal outcome in induced women in comparison to spontaneous labour in nullipara. Methodology: This was a prospective study conducted among 55 nulliparous pregnant women at or beyond 37 weeks of gestation who were in need of induction. Progress of labour was monitored with modified WHO partograph. All consecutive patients who entered into spontaneous labour (n=55) were also included. Results: Mean cervical dilatation in ‘spontaneous labour’ group was 4.48 (± 0.65) cm and in ‘induction labour’ group was 4.4 (± 0.62) cm. In ‘spontaneous labour’ group, 36.4% required augmentation whereas in ‘induction labour’ group 67.3% required. In former, 81.8% had normal vaginal deliveries, whereas 63.6% in the later group. Mean du-ration of first stage of labour in ‘spontaneous labour’ group was 11.42 (± 2.32) hours and in ‘induction labour’ group was 10.36 (± 2.78) hrs. The rate of maternal complication was significantly more in ‘in-duction labour’ group compared to ‘spontaneous labour’ group. There was no significant difference in neonatal outcome in new-born in both the study groups. Conclusion: Induction of labour is associated with higher rate of LSCS. Duration of first stage of labour is significantly shorter in in-duced women, however duration of second and third stage of labour was almost similar to spontaneous labour. Induction of labour is a safe procedure.