Open AccessMATERNAL AND FOETAL OUTCOMES IN SPONTANEOUS VERSUS INDUCED LABOUR- A CROSS SECTIONAL STUDY
Author(s) -
Indrani Ganguli,
Mala Srivastava,
Mamta Dagar
Publication year - 2022
Publication title -
paripex indian journal of research
Language(s) - English
DOI - 10.36106/paripex/5807637
Subject(s) - medicine , cephalic presentation , cervix , obstetrics , vaginal delivery , bishop score , apgar score , caesarean section , labor induction , pregnancy , elective cesarean section , obstetrics and gynaecology , gestation , elective caesarean section , gynecology , gestational age , oxytocin , genetics , cancer , biology
Induction of labour is the artificial initiation of labour before its spontaneous onset for the purpose ofdelivery of the foetoplacental unit.The purpose of this study was to determine whether the current practice of electivelabour induction was associated with differences in mode of delivery,demand for pain relief and foetal outcomes whencompared with labour of spontaneous onset.Methods And Materials: This cross-sectional study carried out on 100 pregnant women with singleton pregnancybetween 37 and 41 weeks of gestation with cephalic presentation delivering in labour room. This study included twogroups:Electively induced (50) and spontaneous group (50).Results: In electively induced group 44% had normal vaginal delivery and 6% had instrumental delivery. Withspontaneous labour,78% had normal vaginal delivery and 4% had instrumental delivery.Postpartum hemorrhage (PPH)was 20% in electively induced group and 6% in the spontaneous group (p-0.038).Apgar scores,mean birth weights werecomparable. Analgesia demand was 22% in the electively induced group when compared to 6% in the spontaneousgroup.Conclusion:The present study emphasizes that elective induction of labour in nulliparous women with a single cephalicpresentation is associated with increased risk of caesarean section, which is predominantly related to an unfavorablecervix. Hence, elective induction is safe and efficacious. Caesarean delivery rate was more due to nulliparity orunfavorable cervix not due to elective induction itself.