Profile of Induced Labour

• Main Author: Tamilselvi, K
• Format: Thesis
• Language: English
• Published: 2009
• Subjects: Obstetrics and Gynaecology; Turnbull; SCAR
• Online Access: http://repository-tnmgrmu.ac.in/4114/; http://repository-tnmgrmu.ac.in/4114/1/200200109tamilselvi.pdf

INTRODUCTION: Around 10 - 50% of all deliveries are preceded by labour induction, a proportion that has not varied dramatically over recent years. Fetal death was the only indication for labour induction centuries ago, while this is now a very rare indication, with prolonged pregnancy and maternal hypertensive disorders being the major indications for the last 50–60 years. Safety, success, and patient satisfaction continue to be the major objectives with economic evaluations now becoming a significant factor in the search for the ideal induction method. TURNBULL (1970) said that the spontaneous labour is robust and effective mechanism and should be allowed to operate on own. we should induce labour if we are sure we can do better. Induction of labor is defined as the initiation of the process of labour, by artificial methods to anticipate delivery via naturalis after the fetus has attained the viability. AIM OF THE STUDY: 1. To study the profile of induced labour in a tertiary care institution. 2. Outcome of such induction in NULLIPARA & MULTIPARA. 3. Intrapartum, Postpartum maternal and neonatal morbidity and mortality of patients who underwent induction of labour. MATERIALS AND METHODS: This study was conducted at Institute of Obstetrics and Gynaecology, Chennai. Approval of institutional ethical committee had been obtained. TYPE OF STUDY: Prospective observational study. PERIOD OF STUDY: JANUARY 2008 TO JUNE 2008. METHODOLOGY: Inclusion Criteria: Singleton live Pregnancies, Cephalic Presentation, Gestational Age >37 Weeks, Bishop Score <4, Reactive CTG, No Spontaneous uterine contraction, Exclusion criteria: Multiple Pregnancies, Mal presentation, Preterm Pregnancies, Non Reactive CTG, Antepartum haemorrhage, Previous uterine scar, Spontaneous Labour. Reason for Induction: 1. Absolute Indication - As in severe PET, imminent eclampsia, eclampsia. 2. Marginal indication - GDM on insulin, PET, Repeated false labour, AFI < 8, BOH, Hospital protocol as in postdated pregnancy, Rh negative pregnancy and ...