Indications for Induction of Labour : (as in Common Practice)

Abstract

Background:  Rates of labour induction are increasing.

Objective:  To make a list of common indications of induction.

Design:  Prospective observational study.

Setting:  Gynecology unit of D.H.Q teaching hospital, Sargodha for a period of 1 year from March 2008 - March 2009.

Patients and Methods:  Patients admitted in the labour room through emergency or through OPD who were planned to have induction of labour, were included in the observation. Their age, parity, duration of pregnancy and the particular condition for which she was induced labour, was recorded. All essential points of examination and required investigations for the mother and the foetus were recorded.

Outcome:  At the end of induction in the form of mode of delivery was recorded whether spontaneous, instrumental or operative delivery.

Results:  Out of 400 patients 158 were primi gravidas and rest of 242 were G₂ to G₉. 342 had alive foetuses and 58 had I.U.F.D. (Intra uterine foetal death). Duration of pregnancy ranged from 28 to 41 wks. Indications for induction of labour were prolonged pregnancy, (36). Pre-eclampsia, (46) I.U.G.R. (16). Placental abruption (32) PROM (20) foetal anomalies (20), I.U.F.D (58), gestational diabetes (10) and non-medical indications (108). Spontaneous vaginal deliveries (242) Instru-mental deliveries (60) and C - sections - (98).

Conclusion:  The most common was non-medical indications for induction of labour.

Key Words:  Indications. Induction of labour.