Induction Of Labour

Abstract

BACKGROUND: Modern obstetrics uses advanced technologies to detect adverse conditions, with induction of labor being a common procedure. The study aims to improve clinical practice and outcomes for mothers and newborns in high-risk situations.

OBJECTIVES: The aim is to investigate factors influencing induced labor, its prevalence, indications  and evaluate maternal and neonatal outcomes.

METHODS: 

The study is a prospective observational study involving 130 pregnant women admitted to Dhiraj Hospital labor room during routine and emergency hours. The sample size was 130, selected after informed consent, and the study duration 1.5 years. The inclusion criteria included singleton pregnancy, postdated and post term pregnancy, hypertensive disorder, intrauterine growth restriction, Rh-Isoimmunization, premature rupture of membranes, oligohydramnios, polyhydramnios, and medical disorders requiring termination of pregnancy.

RESULTS: The study reveals that labor inductions often lead to vaginal births in 70.77% of cases. Cerviprime is the most commonly used induction agent, followed by misoprostol in 21.54%. The duration from induction to delivery varies greatly, with a median of 9.50 hours. Complications vary depending on delivery method, with vaginal births causing seconddegree perineal tears and cervical tears, while cesarean sections result in more postpartum hemorrhage and pyrexia. The most common newborn complications are respiratory distress syndrome (RDS) grade 1 and meconium aspiration syndrome (MAS).

CONCLUSION: The study highlights the complex nature of labor induction, highlighting its potential for maternal and neonatal issues. It emphasizes the need for individualised induction protocols, intense monitoring and prompt intervention to improve maternal and neonatal well-being.