ABSTRACT

Objective: To determine the fetal and maternal outcomes in pregnant women with poor bishop score received labour induction.

Study Design: Prospective/Observational study

Place & Duration of Study: Department of Obstetrics & Gynaecology, M. Islam Teaching Hospital, Gujranwala from 1st October 2019 to 31st March 2020.

Patients and Methods: One hundred pregnant women having gestational age above 36 weeks with bishop score <5 were included in this study. Patient’s detailed demographic including age, BMI, and parity were recorded after written consent. All the patients were received labour induction. Indications of labour induction, time duration from induction to delivery, mode of delivery after induction of labour and fetal outcomes were examined.

Results: There were 10 (10%) patients with ages <20 years, 30 (30%) with ages 20 to 25 years, 35 (35%) were ages 26 to 30 years and 25 (25%) with ages above 30 years. Mean body mass index was 24.35±3.22 and mean gestational age was 38.3±2.12 weeks. Fifty four (54%) patients received misoprostol labour induction and 46 (46%) patients received oxytocin. Post-term pregnancy was the most common indication of labour induction 73 (73%) followed by gestational hypertension 10%. Seventy two (72%) patients had normal vaginal delivery while 28% had C-section. Eight (8%) cases had Apgar score <7 at 5 minutes, meconium stained liquor found in 6 (6%) cases and 10 (10%) neonates needs admission to NICU. No neonatal mortality was found. According to the maternal complications 6 (6%) patients had abnormal uterine action, 3 (3%) patients had postpartum hemorrhage and blood transfusion needed in 2 (2%) patients.

Conclusion: Induction of labour with proper care was safe and effective with fewer fetal and maternal adverse outcomes

Key Words: Fetomaternal, Outcome, Labour induction, Bishop score