Open AccessPOST TERM PREGNANCY;
Author(s) -
Uzma Shahzad,
Uzma Manzoor,
Nadia Awais,
Tasneem Azher
Publication year - 2017
Publication title -
the professional medical journal/the professional medical journal
Language(s) - English
Resource type - Journals
eISSN - 2071-7733
pISSN - 1024-8919
DOI - 10.29309/tpmj/2017.24.04.1445
Subject(s) - medicine , pregnancy , caesarean section , obstetrics , inclusion and exclusion criteria , bishop score , gestation , gynecology , vaginal delivery , alternative medicine , pathology , biology , genetics
Post term pregnancy is used to describe pregnancy that continues for 294 days ormore following the first day of last menstrual period. Post term pregnancy has been consideredto occur in 10-20 % of all pregnancies. PGE2 have been used vaginally for induction of labourfor the last two decades. Routine induction of labour after 41 weeks gestation appears to reduceperinatal mortality. Objectives: The study was done to: 1) To calculate the induction – deliverytime with prostaglandins E2 in prolonged pregnancy. 2) To find frequency of normal vaginaldelivery versus caesarean section after induction with prostaglandins E2. Study design: It wasdescriptive study. Setting: It was study of fifty patients carried out in Gynae unit 1 Allied HospitalFaisalabad. Period: 03 March 2005 to 02 March 2006. Subjects: Inclusion Criteria: 1) Allpatients with prolonged pregnancy of more than forty two weeks were included. 2-Only singletonpregnancies were included. Exclusion criteria: 1-Patients who had previous caesarean sectionwere excluded from the study. 2) Patients who had associated obstetric condition that modify themode of delivery were excluded. Data collection procedure: Detailed history and examinationwas carried out with availability of dating ultrasound to ascertain dates. Bishop score assessed.Tests of foetal well being carried out. After informed consent induction of labour carried out withprostin E2, and effect studied on induction – onset and delivery intervals and mode of delivery.Results: Induction onset interval was 3.5 hours in Primigravida, was 2.8 hours in group 2(G2 &G3) and 2.0 hours in group 3(G4 & more). Induction delivery interval was 18 hours in group 1,14 hours in group 2 and 10-12 hours in group 3. Mean percentage of normal vaginal deliverywas 78.5% in all groups. Forceps delivery was 5.6% and caesarean section was 15.7%. Numberof patients successfully induced was 84.2% Conclusion: The study confirmed the efficacy ofPGE2 tablets in achieving cervical ripening. It was also seen to decrease induction deliveryinterval more so in multigravida.