Induction of Labour an Audit of Indications and Obstetrical Outcome in a Tertiary Care Hospital
Keywords:Labour induction, Prostaglandin E2 Obstetrical outcomes
AbstractObjective: To examine the indications of induction of labour at Services Hospital Lahore, a tertiary) care hospital and to study the maternal and fetal outcomes of this obstetrical intervention. Study design:: This study involved a retrospective analysis of 100 patients with Bishop score Of â‰¤ 6, admitted for induction of labour, done with Prostaglandin E2 , pessary (Dinoprostone 3mg), followed by amniotomy and / or oxytocin infusion. A comparison of indications and outcomes was made among nullipara and multipara. Data was analyzed by X2â€™ and Studentâ€™s / test. Results: The induction rate was 8% and the commonest indication was hypertensive disorders of pregnancy 42%, followed by prolonged pregnancy 22% and pre- labour Â rupture of membranes 21% . The mean induction to delivery interval was 21.2 hours for nullipara and 15. 1 hours Â for parousÂ Â women,Â Â Â pÂ Â =Â 0.00 wasÂ Â statisticallyÂ Â significant.Â Â The caesarean delivery rate wasÂ higherÂ Â withÂ Â inducedÂ Â labours Â in nullipara 52% than in multipara 22%, the difference was statistically significant. 21% babies born with induced labours had Apgar score â‰¤ 4 and 8% required admission in neonatal intensive care unit. 17% patients had postnatal or post-operative complications. There were perinatal or maternal losses. Conclusion: It was concluded fromÂ theÂ studyÂ that Â labour induction results in increased risk of operative delivery and longer hospital stay. Therefore,Â allÂ obstetricalÂ units should monitor the frequency of labourÂ induction,Â scrutinizeÂ theÂ indicationsÂ andÂ assessÂ theÂ impactÂ ofÂ inductionÂ toÂ determine Â the effect on caesarean delivery rate and perinatalÂ outcome.
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