Fetomaternal Outcome in Medically Indicated Induction of Labour at Term Gestation
Introduction: The medical induction of labour at term gestation has always been controversial and is based on conflicting evidences. Aim: To determine the fetomaternal outcome of medical induction of labour at term gestation. Materials and Methods: It was a retrospective observational study and...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2017-11-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/10872/30431_CE(RA1)_F(T)_PF1(AG_TG_SS)_PFA(MJ_GG).pdf |
| Summary: | Introduction: The medical induction of labour at term gestation
has always been controversial and is based on conflicting
evidences.
Aim: To determine the fetomaternal outcome of medical induction of labour at term gestation.
Materials and Methods: It was a retrospective observational
study and manual and electronic data were retrieved from a
tertiary care centre of Southern India. All women after 37th week
of gestation with single live fetus in cephalic presentation with a
Bishop score <6 and a reactive non-stress test having medical
indications were induced with medical method. The primary
outcome measures included number of women who went into
spontaneous labour, incidence of failed induction, induction
delivery interval and modes of delivery.
Results: A total of 602 patients were included in this study.
The mean age, gravida and parity were 25.24±4, 1.4±0.6 and
1.45±0.84 respectively. Oligohydramnios was the commonest
indication 174(28.9%) for labour induction, followed by diabetes
119(19.8%) and Premature Rupture Of Membrane (PROM) at
term 77(12. 8%). Normal vaginal delivery was achieved in 406
(67.4%) of women. LSCS (lower segment caesarean section)
was performed in 140(23.3%) of patients, while 56(9.3%)
patient required instrumentation. The incidence of LSCS in
oligohydramnios, gestational hypertension and diabetes was
40(23%), 16(23.1%) and 26 (21.8%) respectively. Furthermore,
the fetomaternal outcomes were similar irrespective of gravidity
and gestational age.
Conclusion: Medical methods of induction are safe and
reliable and also do not increase the risk of foetal and maternal
complications. Induction of labour for medical indication in term
pregnancy does not increase the risk of caesarean delivery and
adverse foetal and neonatal outcomes. |
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| ISSN: | 2249-782X 0973-709X |