INDUCTION OF LABOUR - WHEN IS IT IDEAL? A COMPARATIVE STUDY IN A TERTIARY CARE HOSPITAL IN CHENNAI

Dr. Gomathy. M; Dr.Sampathkumari

Volume : VIII, Issue : III, March - 2019

INDUCTION OF LABOUR - WHEN IS IT IDEAL? A COMPARATIVE STUDY IN A TERTIARY CARE HOSPITAL IN CHENNAI

Dr. Gomathy. M, Dr. Sampathkumari

Abstract :

AIM : To analyse the optimum period of intervention in pregnancies without compromising the Fetomaternal outcome and to evaluate the maternal and perinatal outcome when labour is induced at 40 weeks and above 40 weeks of gestation. METHODOLOGY: This is a prospective study carried out in the department of Obstetrics and Gynecology at RSRM Lying in Hospital in Chennai during the period of april to September 2018. 100 primigravida patients were included in the study after fulfilling the inclusion criteria. 50 patients were induced at 40 weeks and 50 patients after 40 weeks of gestation. Each group of patients were subjected to induction with foleys and pge2 gel . Maternal and perinatal outcomes were studied. RESULTS: 50 patients who were induced at 40 weeks of gestation, half with Foleys induction (25), 18(72%)patients delivered vaginally and 7(28%) delivered by lscs, and other 25 patients induced with PGE2 gel, 14(56%)patients delivered vaginally and 11(44%)delivered by lscs.The next 50 patients who were induced at more than 40 weeks of gestation by foleys induction in 25 patients, 20(80%)patients had vaginal delivery and 5(20%) patients delivered by LSCS , and the other 25 patients induced with PGE2 gel, 17(68%) and 8(32%) patients delivered by labour natural and LSCS respectively. CONCLUSION: Induction of labour in otherwise uncomplicated pregnancies after 40 weeks of gestation is associated with reduced rates of cesarean section. And when considering the mode of induction of labour, mechanical methods for induction gave better outcomes in terms of reducing the cesarean section rates and maternal and fetal complications