Frequency and Factors Leading to Caesarean Section after Induction of Labour in Primigravidas at Term
Humaira Bashir, Sadia Anwar, Kalsoom Essa, Safia Khan, Ammara Pirzada, Rubina Babar
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ABSTRACT
Background: Labour induction is a common practice in every obstetric unit and primigravidas are more likely to
undergo induction of labor and caesarean section due to failed induction. Apart from labour factors, pre
eclampsia, fetal distress and gestational diabetes are known factors leading to higher caesarean section after
induction of labour. The objective of this study was to determine the frequency of caesarean-section and common
factors leading to it after induction of labor in primigravida at term.
Materials &Methods; This Descriptive study was conducted From Sep11, 2017 to Mar10, 2018
in Obstetric and Gynacology department, FGPC Islamabad.
Results: A total of 125 patients presenting with primigravida at term pregnancy after induction of labor were
included in the study. Average age of the patients was 28.61 years+6.45 SD. The caesarean section was found in
57(45.6%) patients. The most common factor was pre eclampsia which was observed in 29 (23.2%).
Conclusion: Caesarean Section rate is high in primigravidas with induced labour at term with almost same
frequency in all age groups and the most common factor contributing to caesarean section is pre eclampsia
leading to fetal distress.
Keywords: Primigravida; pregnancy; caesarean-section; labor.