Volume : VII, Issue : XII, December - 2017

ROLE OF ROUTINE INDUCTION IN POST DATED AND PROLONGED PREGNANCY

Dr. P. Geetha Kumari, Dr. M. Swarnalatha

Abstract :

 AIM: To compare routine labor induction with expectant management for women who reach or exceed 41 weeks gestation.

METHODS: This is a hospital based prospective study which included a sample size 100, divided into Group 1 and Group 2. Group 1 includes 50 patients who are managed by Expectant management if they don’t have any other complications of pregnancy, treated conservatively till the onset of labor. Group 2 includes 50 patients who are managed by Induction who had no additional complications of pregnancy, induced with low dose of Misoprostol 25mcg vaginally, repeated 4th hourly in primi gravida and 6th hourly in multi gravida.All cases progressed with 2 or 3 doses, maximum 4 doses. Comparison was done between Induction and Expectant management for uncomplicated, singleton live pregnancies of at least 41 weeks gestation and evaluated the following: Perinatal outcome, Mode of delivery,Meconium stained liquor, Fetal heart rate abnormality during labor,Apgar scores and Neonatal intensive care unit (NICU) admissions. The primary outcomes assessed were Caesarean delivery rate and Perinatal outcome.

RESULTS:  As gestational age advances there was an increase in caesarean section rate.  In Group 1 C S rate was 6% in women with 40–41 weeks gestation and 10% in women with 41–42 weeks gestation. In Group 2 C S rate was 6% in women with 40–41 weeks gestation and 22% in women with 41–42 weeks gestation. This difference in C S rate is statistically significant (p < 0.05).It was observed that Perinatal outcome was better in 40–41 weeks gestation when compared to 41–42 weeks gestation. Perinatal mortality was zero in both the groups.

CONCLUSION: Routine labor induction at 41 weeks gestation for otherwise uncomplicated singleton pregnancies reduce caesarean delivery rates with better perinatal outcome and zero perinatal morbidity and mortality.

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr.P.Geetha Kumari, Dr.M.Swarnalatha, ROLE OF ROUTINE INDUCTION IN POST DATED AND PROLONGED PREGNANCY, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-7 | Issue-12 | December-2017


Number of Downloads : 186


References :