A study of induction of labour versus expectant management for pregnancies beyond 40 weeks a prospective comparative randomised study
Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2018, Vol 5, Issue 2
Abstract
Introduction Postterm pregnancy is one that extends to or beyond 42 weeks of gestation Patients at 40 weeks can either undergo induction or can be managed expectantly At 41weeks of gestation the perinatal mortality rate is 9 per 1000 live births and it continues to rise thereafter Labour induction at 41 weeks gestation for otherwise uncomplicated singleton pregnancies reduces caesarean delivery rates without compromising perinatal outcomesStudy Design 200 Low risk primigravida at 40 weeks of gestation were included and randomized into two groupsGroup IInduction group n100 Patients were admitted at 40 weeks and were induced at 400 to 406 WeeksPatients in Group II the Expectant group which was further subdivided into 2 groupsGroup IIaThose who went into labour or had PROM or any omnious event during the Expectant period till 41weeksGroup IIbPatients who reached 41weeks and then were inducedResults Expectant management till 41weeks and then inducing labour at 41weeks resulted in a significantly higher number of patients having vaginal delivery when compared with patients who were induced at 40weeks The incidence of meconium stained liquor caesarean section nonreassuring CTG maternal complications and neonatal morbidity was high in Group I when compared to Group IIConclusion Labour induction in uncomplicated pregnancies at 41 weeks is not associated with increased rates of operative delivery maternal and neonatal morbidityKeywords Expectant management Labor induction Post term pregnancy
Authors and Affiliations
Bhagyalakshmi Manthri, Nina. V. Kate
Keywords
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- EP ID EP475297
- DOI 10.18231/2394-2754.2018.0050
- Views 161
- Downloads 0
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