Outcome of Induction of Labour in Nulliparous Women
Marya Mushtaque, Ayesha Mustafa, Hiba Arshad Shaikh, Sharin Khan, Huma Baloch
1105
ABSTRACT
Objective: To determine the outcomes following induction
of labor in nulliparous women presenting to tertiary care facility.
Study Design: Case Series
Place and Duration: Department
of Obstetrics & Gynaecology, Aga Khan University & Hospital Karachi.
Duration was Six months from 15thJanuary 2016 - 15th June
2016.
Methadology: Admitted women was selected, women were
induced with PGE2 3mg vaginal tablet, inserted in the posterior vaginal fornix.
This was repeated at 4-hour intervals, if contractions are not initiated.
Maximum 6 mg was given. Decision was
taken for cesarean section 4 hours post second dose by the consultant having
more than 2 years of post-fellowship experience.
Results: 100 women enrolled in this study, mean age of
the patients was 26.9±3.9 years. BMI of the patient were 30.4±4.5 kg/m2.
Stratification analysis was performed and observed that statistically
significant association in MOD in nulliparous women with age and dose of PGE2.
MOD of delivery in nulliparous women was not associated with height weight BMI
gestational age and baby NICU admission.
Conclusion: Elective induction of labour at term
gestation can reduce perinatal mortality and morbidity in Pakistan with
increasing the risk of operative delivery.
Keywords: Induction of labour, Nulliparous women,
Unfavorable cervix.
ABSTRACT
Objective: To determine the outcomes following induction
of labor in nulliparous women presenting to tertiary care facility.
Study Design: Case Series
Place and Duration: Department
of Obstetrics & Gynaecology, Aga Khan University & Hospital Karachi.
Duration was Six months from 15thJanuary 2016 - 15th June
2016.
Methadology: Admitted women was selected, women were
induced with PGE2 3mg vaginal tablet, inserted in the posterior vaginal fornix.
This was repeated at 4-hour intervals, if contractions are not initiated.
Maximum 6 mg was given. Decision was
taken for cesarean section 4 hours post second dose by the consultant having
more than 2 years of post-fellowship experience.
Results: 100 women enrolled in this study, mean age of
the patients was 26.9±3.9 years. BMI of the patient were 30.4±4.5 kg/m2.
Stratification analysis was performed and observed that statistically
significant association in MOD in nulliparous women with age and dose of PGE2.
MOD of delivery in nulliparous women was not associated with height weight BMI
gestational age and baby NICU admission.
Conclusion: Elective induction of labour at term
gestation can reduce perinatal mortality and morbidity in Pakistan with
increasing the risk of operative delivery.
Keywords: Induction of labour, Nulliparous women,
Unfavorable cervix.