scholarly journals Current practice of induction of labour and maternal outcome in ≥37 week of gestation: an observational study

2021 ◽  
Vol 10 (8) ◽  
pp. 3132
Author(s):  
Jil Manishkumar Sheth ◽  
Anjani Shrivastava ◽  
Kedar Trivedi
Keyword(s):  
Fetal Distress ◽  
Maternal Outcome ◽  
Induction Of Labor ◽  
Induction Of Labour ◽  
Bishop Score ◽  
Healthy Baby ◽  
Common Indication ◽  
Analogous Data ◽  
Elective Induction ◽  
Study Participants

Background: As we know induction is done when benefit to mother and fetus overweigh benefits of continuing the pregnancy. According to NICE guidelines, induction of labor leads to 15% of instrumental deliveries and 22% of total LSCS. In new civil hospital, Surat (according to 2017) failure of induction of labor was 2nd most common indication of LSCS. The objective of this study were to analyse labor induction with respect to indication for induction of labor and its maternal outcome so that we optimize our protocol of labor and reduce our LSCS rates for the same, can reduce feto-maternal morbidities also.Methods: This was prospective observational descriptive study carried out over duration of 6 month. 200 consecutive cases of consenting women requiring induction of labour and fulfilling inclusion criteria were selected. Induction was done with prostaglandin analogous. Data were collected includes age, parity, gestational age, bishop score, indication of induction, and maternal outcome. And data was analyzed by using EMI software.Results: Timely induction of labor can reduce maternal morbidity and ensure the delivery of a healthy baby. Among 200 consenting women 58.5% were multigravida and 41.5% were primigravida. Most common indication of induction among study participants is prolong rupture of membrane which is 35.5%. Among them 71.4% had vaginal delivery having poor bishop score. Most common indication for LSCS were fetal distress (34.8%).Conclusions: We concluded that elective induction of labor was associated with lower rates of LSCS and improved maternal and neonatal outcome.

scholarly journals Elective versus emergency caesarean section: differences in maternal outcome

2019 ◽  
Vol 8 (8) ◽  
pp. 3207
Author(s):  
Anshu Sharma ◽  
Rajiv Acharya ◽  
Yashika Pehal ◽  
Bhawna Sharma
Keyword(s):  
Caesarean Section ◽  
Elective Caesarean Section ◽  
Fetal Distress ◽  
Emergency Caesarean Section ◽  
Maternal Outcome ◽  
Common Indication ◽  
Emergency Caesarean ◽  
Group A ◽  
The Difference ◽  
Group B

Background: Caesarean section is a life-saving surgical procedure when certain complications arise during pregnancy or labour. The use of CS worldwide has increased worldwide unprecedented levels although the gap between higher- and lower-resource settings remains. The present study evaluates the difference in maternal outcome in elective versus emergency caesarean sections in our institute.Methods: The study included first 65 cases of emergency caesarean section (group A) and during the study period, first 65 elective caesarean section (group B) if they fulfilled the inclusion criteria. Various intra operative and postoperative events were recorded which included intra operative complications, postpartum haemorrhage and transfusion indices.Results: The most common indication of caesarean section in group A was fetal distress (27.7%). In group B most caesarean sections were classified under 5 followed by class 6, the most common indication being previous caesarean section (27.6%). It was observed that pre-operative mean haemoglobin in group A was 10.6 g/dl and in group B was 11.2g/dl. A drop of 1.36 g/dl in group A and 1.10 g/dl in group B was observed in the post-op period. Cross match / transfusion ratio 1.5 in group A and  2 in group B, transfusion probability ratio was 60 % in group A and  66.7%  in group B and transfusion index was 1 in group A and  group B. There was significantly higher contraception acceptance in group B compared to group A.Conclusions: Elective caesarean section has more favourable maternal outcome as compared to emergency caesarean section as the former is done under controlled and planned circumstances.  However, there should be stringent audit to scrutinise indication of caesarean section, outcome of caesarean and blood transfusion practices.

scholarly journals Fetomaternal Outcome After Induction of Labor at Term in Patients with Gestational Diabetes

Esculapio ◽  
2021 ◽  
Vol 17 (1) ◽  
pp. 49-54
Author(s):  
Sajida Imran ◽  
Asifa Noreen ◽  
Irum Khayam ◽  
Ayesha Arjmand ◽  
Razia Ghafoor ◽  
...  
Keyword(s):  
Birth Weight ◽  
Gestational Diabetes ◽  
Fetal Outcome ◽  
Maternal Outcome ◽  
Induction Of Labor ◽  
Induction Of Labour ◽  
Obstetrics And Gynecology ◽  
Apgar Scores ◽  
Vaginal Deliveries ◽  
Diabetes Induction

Objective: The objective of study is to determine the fetomaternal outcome after induction of labour at term in patients with gestational diabetes. Methods: This study was conducted at department of Obstetrics and gynecology of Hameed Latif hospital, Lahore, Pakistan from March 2019 to October 2019. Seventy-nine pregnant women with gestational diabetes at term, undergoing induction of labour were included in the study after informed consent. Maternal outcome was studied by classifying different modes of delivery. Fetal outcome was measured on basis of APGAR scores and neonatal weight. Results: There were 55/79 vaginal deliveries making vaginal delivery rate to be 66.9%. Mean birth weight of neonates was 3.15 + 0.558 kg. Mean APGAR Score at 1 min and 5 minutes were 7.7 + 0.6193 and 8.8 + 0.4793 respectively. Conclusion: Labor induction in patients with gestational diabetes is associated with lower rate of cesarean delivery with a satisfactory fetal outcome. Key Words: Gestational diabetes, induction of labour, maternal outcome, fetal outcome How to cite: Imran S., Dr., Noreen. A, Khayam. I., Arjmand A., Ghafoor R., Khalique F. Fetomaternal Outcome After Induction of Labor at Term in Patients with Gestational Diabetes. Esculapio 2021;17(01):49-54

The Use of Prostaglandin E2for Cervical Ripening in Patients Requiring Induction of Labour

1997 ◽  
Vol 25 (3) ◽  
pp. 159-166 ◽  
Author(s):  
A Caruso ◽  
L De Santis ◽  
B Carducci ◽  
S Ferrazzani ◽  
S De Carolis ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Clinical Benefit ◽  
Caesarean Section Rate ◽  
Fetal Distress ◽  
Induction Of Labour ◽  
Cervical Ripening ◽  
Prostaglandin E ◽  
Bishop Score ◽  
Difficult Labour ◽  
Initial Score

A total of 290 women who required induction of labour for medical or obstetric reasons were given single or multiple doses of prostaglandin E2 gel (0.5 mg) to induce cervical ripening. Onset of labour occurred in 185 (63.8%) of the women treated with the gel, without any further treatment. The overall Caesarean section rate was 27.2% (79/290) and was significantly higher among those with an initially low Bishop score than in those with a higher initial score (34.7% versus 22.1%; P = 0.025). Prostaglandin E2 gel appears to be of considerable clinical benefit, especially where no other options are available except Caesarean section or a very long, difficult labour that may result in significant fetal distress.

Incidence of cesarean delivery after induction of labour with dinoprostone gel at term in nulliparous women with unfavourable bishops score

2017 ◽  
Vol 6 (4) ◽  
pp. 1253
Author(s):  
Kalpana Mehta ◽  
Dhanesh Kumar ◽  
Dharmendra Singh Fathepuriya ◽  
Leena Verma
Keyword(s):  
Cesarean Section ◽  
Vaginal Delivery ◽  
Previous History ◽  
Fetal Distress ◽  
Induction Of Labour ◽  
Normal Vaginal Delivery ◽  
Bishop Score ◽  
Nulliparous Women ◽  
History Of ◽  
The Mean

Background: The aim of induction of labour is to achieve vaginal delivery in advance of the normal timing of parturition and to avoid operative delivery. The objective was to study the incidence of instrumental delivery and cesarean section in nulliparous women with unfavourable bishops score at term.Methods: This study was conducted on 200 patients in nulliparous women with unfavourable bishop score, cephalic presentation and no previous history of abortion.Results: The most frequent cause of induction of labour was postdatism (47.5%) followed by PIH (25.5%) and PROM (13%). 143 (71.5%) women had normal vaginal delivery whereas in 54 women (27%) cesarean section was done. 2 women (1%) had forceps application for delivery and remaining 1 women (0.5%) had ventouse delivery. Out of 200 patients 9 had maternal complication of induction of labour.Conclusions: In present study 71.5% women had normal vaginal delivery, 27% had cesarean section. Mean bishop score at induction was 3.31 which improved to 4.0 after 12 hours of gel instillation. The mean induction to delivery interval was 13.38 hrs in present study, 54.5% patients were delivered within 12 hours of gel instillation in this study. Most common indication of cesarean section was failed progress followed by fetal distress.

scholarly journals Clinical Outcome Following Induction of Labour with Misoprostol

2017 ◽  
Vol 6 (2) ◽  
pp. 49-52
Author(s):  
Serajoom Munira ◽  
Fatema Begum ◽  
Farhana Dewan ◽  
Sadia Mahfiza Khanam ◽  
Aftabun Nahar ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Vaginal Delivery ◽  
Perinatal Death ◽  
Fetal Distress ◽  
Maternal Outcome ◽  
Induction Of Labour ◽  
Maternal Distress ◽  
Normal Vaginal Delivery ◽  
Perineal Tear ◽  
Oral Misoprostol

Background: Induction of labour in the third trimester of pregnancy may be considered beneficial in many clinical circumstances.Objective: The aim of this study was to find the effectiveness and safety of a novel dosing regimen of oral misoprostol in a Bangladeshi sample.Methods: A cross sectional study was conducted in the Department of Obstetrics and Gynecology, Sir Salimullah Medical College & Mitford Hospital, Dhaka from October 2008 to September 2009 based on the guideline of American College of Obstetricians and Gynecologists. Fifty nine cases were enrolled according to inclusion criteria by clinical pelvimetry and bishop scoring. Contracted pelvis, evidence of cephalopelvic disproportion, placenta previa, unexplained vaginal bleeding, grand multipara, fetal malpresentation, previous uterine scar and fetal distress cases were excluded. Misoprostol was administered per orally. Maternal outcome was assessed by normal vaginal delivery, caesarean section, maternal distress, perineal tear, cervical tear, uterine hyper-stimulation and fetal outcome was assessed in the form of fetal distress, meconium stained amnions, neonatal admission, perinatal death and no complication. Statistical analysis was done using SPSS v 13. Probability value was set at P<0.05 for statistical significance.Results: Mean age was 25.69(5.04) years and mean age of gestation was 38.23(4.3) weeks and 59% were in regular antenatal checkup. Misoprostol was administered orally, 15% single, 37% double, 34% three and l4% were more than three doses. Following induction, 85% had normal vaginal delivery, 10% caesarean section and 5% had forceps delivery. For induction, 56% were due to preeclampsia, eclampsia & other pregnancy induced hypertension, 10% postdated pregnancy, 9% were unfavorable cervix, 7% IUD, l4% elective cases due to medical disorder, 2% had premature rupture of membrane, other causes were 3%. By bishop score assessment 54% had unfavorable and 46% had favorable cervix. In neonate's outcome, 34% had no complications, 19% meconium stained, 19% neonatal admission, 9% fetal distress and 20% had perinatal death including IUD. In maternal outcome, 69% no complications, 10% perineal tear, 10% caesarean section, 3% maternal distress, 3% cervical tear, 2% uterine hyper-stimulation, 2% episiotomy. There were no significant differences.Conclusions: Stepwise oral misoprostol was well tolerated with no increase in maternal side effects. There was also a trend towards more fetal safety in the oral misoprostol. Perhaps the most significant finding of our study is the lower cesarean section rate in the women who received the oral regimen.J Shaheed Suhrawardy Med Coll, 2014; 6(2):49-52

scholarly journals Comparison of caesarean section rate and maternal complications in elective induction versus spontaneous labor

2021 ◽  
Vol 10 (11) ◽  
pp. 4249
Author(s):  
Salma Kousar Beigh ◽  
Samar Mukhtar ◽  
Nighat Firdous ◽  
Fariha Amaan
Keyword(s):  
Caesarean Section ◽  
Post Partum ◽  
Caesarean Section Rate ◽  
Fetal Distress ◽  
Induction Of Labor ◽  
Maternal Complications ◽  
Medical College ◽  
Vaginal Deliveries ◽  
Increased Risk ◽  
Elective Induction

Background: Elective induction of labor is defined as an initiation of labor, either by mechanical or pharmacological means at a time earlier than nature regardless of a medical or obstetric indication. Objectives were to estimate the proportion of caesarean sections and vaginal deliveries and magnitude of maternal complications following elective induction and spontaneous labor.Methods: The study entitled “comparison of caesarean section rate and maternal complications in elective induction versus spontaneous labor in LD Hospital, Kashmir” was a hospital based observational study, conducted in the Postgraduate Department of Obstetrics and Gynaecology, LallaDed Hospital of Government Medical College, Srinagar over a period of one and a half years.Results: Women in induced labor group had slightly increased risk of caesarean section than those in spontaneous group. Fetal distress was the most common indication for caesarean section in both the groups. There was no difference in both groups regarding maternal complications such as perineal lacerations; postpartum hemorrhage (PPH); need for blood transfusions and post partum hospital stay.Conclusions: Though induction of labor is associated with a slight increased risk of caesarean delivery, it is not related to other maternal complications. Therefore inductions are safe in hands of safe obstetricians.

scholarly journals A Prospective Comparison of the 30-Minute and 60-Minute Oxytocin Dose Incremental Schedules for Induction of Labor at Term

1970 ◽  
Vol 6 (1) ◽  
pp. 35-40
Author(s):  
Idowu P Ade-Oju ◽  
Oluwafemi Kuti ◽  
Olabisi M Loto ◽  
Solomon O Ogunniyi
Keyword(s):  
Fetal Distress ◽  
Induction Of Labor ◽  
Induction Of Labour ◽  
Efficacy And Safety ◽  
Delivery Outcome ◽  
Induction Dose ◽  
Prospective Comparison ◽  
Oxytocin Infusion ◽  
Uterine Hyperstimulation ◽  
Intrapartum Complications

Aim: To compare the efficacy and safety of two oxytocin incremental protocols used for induction of labor in women of low parity. Method: One hundred and twenty women (120) of low parity requiring induction of labour at term were randomly assigned into the two oxytocin induction dose protocols of the 30-minute and 60-minute incremental intervals. Induction–onset of labour interval, Induction-delivery interval, Delivery outcome and perinatal outcome were compared. Results: The induction-onset of labour interval and the induction delivery interval were comparable between the 60-min group and the 30-min group. Intrapartum complications like fetal distress, uterine hyperstimulation and precipitate labour were more common in the 30-min group however, this was not statistically significant. Conclusion: Oxytocin infusion regimens of 60-min and 30-min are comparable in outcome for induction of labour. The 60-min group carries less risk to both the mother and the fetus. Keywords: Induction-delivery interval, Induction of labor, oxytocin DOI: http://dx.doi.org/10.3126/njog.v6i1.5250 NJOG 2011; 6(1): 35-40

scholarly journals Maternal factors affecting outcome of induction of labour

2019 ◽  
Vol 8 (12) ◽  
pp. 4705
Author(s):  
Shravani Devarasetty ◽  
S. Habeebullah
Keyword(s):  
Vaginal Delivery ◽  
Gestational Age ◽  
Mode Of Delivery ◽  
Single Agent ◽  
Fetal Distress ◽  
Induction Of Labour ◽  
Delivery Rate ◽  
Bishop Score ◽  
Maternal Complications ◽  
Common Procedure

Background: Induction of labour is a common procedure in modern obstetrics and accounts for 20% among all deliveries. This study aims to assess the factors associated with success/failure of induction of labour.Methods: This is a cohort study involving 220 women who underwent induction of labour in the department of obstetrics and gynaecology, MGMCRI from December 2016 to May 2018. After obtaining informed consent, patients were recruited into the study. Maternal parameters like age, parity, gestational age, BMI, Bishop score, indication of induction, method of induction, mode of delivery, maternal complications and neonatal parameters like Apgar score, birth weight and NICU admission were analyzed. Association of all parameters with mode of delivery was done by chi square test or Fisher exact test.Results: Out of 220 women who were induced, vaginal delivery rate was 56.4%. Vaginal delivery rate was high in young women of age 20-25 years (65.2%), multiparous women (65.1%), gestational age of > 40-42 weeks (64.7%), with normal BMI (67.7%), with Bishop score ≥ 5(94.6%), induced for PROM and postdates (68.6%) and induced with single agent (74%). Most common indication of caesarean section was fetal distress (43.7%) followed by meconium stained liquor (30.2%). There were no adverse perinatal outcomes.Conclusions: Women of age 20-25 years, normal BMI and induced with single agent showed statistically significant successful induction of labour.

scholarly journals A comparative study on the role of oral mifepristone and endocervical prostaglandin as preinduction cervical ripening agent

2020 ◽  
Vol 10 (1) ◽  
pp. 215
Author(s):  
Sanghamitra Mohapatra ◽  
Samarpita .
Keyword(s):  
Single Dose ◽  
Comparative Study ◽  
Substantial Reduction ◽  
Fetal Distress ◽  
Induction Of Labour ◽  
Cervical Ripening ◽  
Control Group ◽  
Bishop Score ◽  
Medical College ◽  
Dose Oral

Background: Induction of labour is one of the most common interventions practised in modern obstetrics with up to 20% of pregnant women having labour induced in some countries. Induction rates have been influenced by several reports worldwide, which claimed that an active induction policy, led to substantial reduction in perinatal and maternal morbidity and mortality. A ripe or favourable cervix is a pre-requisite for successful vaginal birth. This study is conducted with an aim to compare the efficacy of mifepristone and dinoprostone as a cervical ripening and priming agent for induction of labour and their safety and fetomaternal outcome.Methods: It was a prospective comparative study in the Department of Obstetrics and Gynecology, M.K.C.G. Medical college, Berhampur from October 2017 to October 2019. 100 cases with bishop score less than 6 were subjected for pre induction ripening. These cases were assigned at random either  to study group, who were given single dose oral mifepristone 200 mg and control group with  single dose intracervical E2 gel. All the cases were examined to check the bishop score. In cases of control cases, second dose was given after 6 hours, if there was no improvement in bishop score. At the end of 24 hour if bishop score <6, it was called as failed induction.Results: 90% of mifepristone gr and 56% of dinoprostone gr had improved Bishop score>6 after 6hr.32 cases required oxytocin augmentation in mifepristone gr where as it was 57 in dinoprostone. Drug administration to delivery interval was 19.40 hour in mifepristone gr and 15 hour in dinoprostone gr. More vaginal delivery and less fetal distress in mifepristone gr.Conclusions: Mifepristone is an effective agent for cervical ripening with better fetomaternal outcome compaired to dinoprostone.

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