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Background and Method: Department of Obstetrics and Gynecology, G.R. Medical College & Kamla Raja Hospital & J.A. Group of Hospitals, Gwalior (M.P.), India from June 2017 to May 2018. Primigravida with gestation age 40 Weeks Group (40+0 to 40+6 days) [Group 1] and 41 Weeks Group (41+0 to 41+6 days) [Group 2], 200 antenatal women. Total 200 cases who attended the antenatal clinic and labour room fulfilling the criteria were included in the study. Induction is done with Intracervical PGE2 gel or IV Oxytocin infusion or tab. Misoprostol 50μg. Result: There was a significant difference seen in induction to active labour in both groups (p<0.05). The maximum number of patients goes in active labour in within 12 hours in both the groups ( =9.2, p=0.0267). Induction to delivery interval was statistically significant found in both group. Most of the patients delivered within 24 hrs of induction in both the groups ( =11.22, p=0.01505). Conclusion: India is a developing country in which infrastructure and resources are limited and in addition to that patients load is boundless, so intensive intrapartum monitoring is not always possible. Other most important factors are lack of awareness in the community and poor compliance for follow up by the patients. Considering the above mentioned factors the conclusion is that induction of labour at 40 weeks group fares better in reducing maternal and perinatal complications.

To study the maternal and perinatal outcome in primi gravida in induction of labour at 40 weeks and 41 weeks of gestation