Nadia Zahid, Muntiha Sarosh, Faiza Ghafoor, Sadaf Aleem, Kokabzia, Mohammad Saad

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An Overview of Factors Associated with Failed Induction of Labour in a Tertiary Care Hospital

Nadia Zahid, Muntiha Sarosh, Faiza Ghafoor, Sadaf Aleem, Kokabzia, Mohammad Saad



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ABSTRACT

 

Aim: To evaluate the factors associated with failed induction of labour and feto maternal outcome with induction of labour.

Study Design: A cross sectional study.

Place and Duration of Study: Department of OBS & GYNAE Avicenna Medical College and Hospital, Lahore from January 2019 to December 2019.

Methodolgy: A total of 90 subjects were evaluated keeping in view the inclusion and exclusion criteria. Induction was considered successful if the patient delivered vaginally and failed if ended up in caesarean section.

Results: 67% ( 60 ) patients delivered by caesarean section and 33% ( 30) by vaginal delivery. The average induction delivery interval was 19 hours. The following factors were associated with increased rate of failed induction : Bishop score < 5, Gestational age > 41 weeks, Oligohydramnios, Prelabor rupture of membranes, Hypertensive disorders of pregnancy, Induction-delivery interval greater than 24 hours, Absence of dating scan, meconium stained liquor, small for gestational age and macrosomic babies. All were found to be statistically significant with a p value of less than 0.05. The study also showed that induction of labour is not associated with any major intrapartum and postpartum feto maternal complications.

Conclusion : Most common indication for induction of labour was post dated pregnancy. Other major indications were co morbid fetomaternal conditions which quite seemed to be unavoidable in most cases of failed induction. On other hand case selection for induction of labour is vital for achieving outcomes similar to spontaneous labour.

Keywords: Induction of labour, prelabor rupture of membrane, fetomaternal complications



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