Fetomaternal Outcome in Medically Indicated Induction of Labour at Term Gestation
Journal Title: Journal of Clinical and Diagnostic Research - Year 2017, Vol 11, Issue 11
Abstract
Introduction: The medical induction of labour at term gestation has always been controversial and is based on conflicting evidences. Aim: To determine the fetomaternal outcome of medical induction of labour at term gestation. Materials and Methods: It was a retrospective observational study and manual and electronic data were retrieved from a tertiary care centre of Southern India. All women after 37th week of gestation with single live fetus in cephalic presentation with a Bishop score <6 and a reactive non-stress test having medical indications were induced with medical method. The primary outcome measures included number of women who went into spontaneous labour, incidence of failed induction, induction delivery interval and modes of delivery. Results: A total of 602 patients were included in this study. The mean age, gravida and parity were 25.24±4, 1.4±0.6 and 1.45±0.84 respectively. Oligohydramnios was the commonest indication 174(28.9%) for labour induction, followed by diabetes 119(19.8%) and Premature Rupture Of Membrane (PROM) at term 77(12. 8%). Normal vaginal delivery was achieved in 406 (67.4%) of women. LSCS (lower segment caesarean section) was performed in 140(23.3%) of patients, while 56(9.3%) patient required instrumentation. The incidence of LSCS in oligohydramnios, gestational hypertension and diabetes was 40(23%), 16(23.1%) and 26 (21.8%) respectively. Furthermore, the fetomaternal outcomes were similar irrespective of gravidity and gestational age. Conclusion: Medical methods of induction are safe and reliable and also do not increase the risk of foetal and maternal complications. Induction of labour for medical indication in term pregnancy does not increase the risk of caesarean delivery and adverse foetal and neonatal outcomes.
Authors and Affiliations
Nivetha Sarvanan, Nivedita Jha, Sneha Badwe Dhodapkar, Ravichandran Kandasamy
Keywords
Related Articles
- EP ID EP366769
- DOI 10.7860/JCDR/2017/30431.10872
- Views 68
- Downloads 0
Evaluation of Acute Oral Toxicity of Ethanol Leaves Extract of Catharanthus roseus in Wistar Albino Rats
Introduction: Herbal drugs have gained importance globally in the treatment of various diseases. Catharanthus roseus is traditionally used as an anti diabetic and anti cancer drug. To the best of our knowledge limited da...
A Review of Knowledge and Attitudes Towards Dementia Among College and University Students
Introduction: Dementia is pressing problem for family and society. Next generation health care providers which are current healthcare program students are important part of professional caregiving system in future. Parti...
Impact of Feedback on Continuous Cumulative Evaluation System for Learning in Physiology
Introduction: Effective feedback helps students to realize their error and confirm most appropriate response posed by them which moreover, magnifies their conceptual understanding. Implementation of the innovative feedba...
Correlation of Pregnancy Associated Plasma Protein A and Zinc with Calculated Risk Ratio of Dual Test
Introduction: First trimester screening by dual test is the most preferred method of antenatal screening. The detection rate of foetal aneuploidy using dual test is 95%. This test uses maternal serum free β human Chorion...
Intrapulpal Rise in Temperature Due to Various Curing Units- In Vitro Study
ABSTRACT Introduction: Dental pulp is a highly vascularized tissue whose vitality is known to be impaired during tooth preparation and clinical restorative procedures but the rise in its temperature during the use of li...