Outcome of Induction of Labour after 37 Weeks of Gestation

Abstract

To evaluate the outcome of induction of labour after 37 weeks of gestation. One hundred patients including primipara and multipara were studied over a period of one year. The main indications were postmaturity, pre eclampsia, diabetes, premature rupture of membranes, chorioamnionitis, congenital anomalies and social reasons. Induction with prostin pessary was carried out in 72% while oxytocin infusion with amniotomy was used in 14%. Vaginal delivery was achieved in 78%, of which 72% were normal vaginal deliveries and 6 % were instrumental deliveries. Caesarean section was carried out in 22% patients. Indications for operative delivery included failed induction in 8 (36%) and foetal distress in eleven (63%). Failed induction was more in patients who required two prostin E2 pessaries for cervical ripening.