Open AccessInduction of Labour an Audit of Indications and Obstetrical Outcome in a Tertiary Care Hospital
Author(s) -
Gulfreen Jalil,
Renuka Malik,
Nudrat Sohail,
Ali Razaque
Publication year - 2016
Publication title -
annals of king edward medical university
Language(s) - English
Resource type - Journals
eISSN - 2079-7192
pISSN - 2079-0694
DOI - 10.21649/akemu.v10i2.1182
Subject(s) - medicine , caesarean section , apgar score , obstetrics , pregnancy , dinoprostone , bishop score , labor induction , vaginal delivery , oxytocin , prostaglandin e2 , fetus , cervix , genetics , cancer , biology
Objective: 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 ≤ 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 X2’ and Student’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 rupture of membranes 21% . The mean induction to delivery interval was 21.2 hours for nullipara and 15. 1 hours for parous women, p = 0.00 was statistically significant. The caesarean delivery rate was higher with induced labours in nullipara 52% than in multipara 22%, the difference was statistically significant. 21% babies born with induced labours had Apgar score ≤ 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 from the study that labour induction results in increased risk of operative delivery and longer hospital stay. Therefore, all obstetrical units should monitor the frequency of labour induction, scrutinize the indications and assess the impact of induction to determine the effect on caesarean delivery rate and perinatal outcome.