Study of Correlation between Induction of Labour and Caesarean Section
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 8
Abstract
Introduction: Induction of labour is defined as the process of artificially stimulating the uterus to start labour. Induction is generally done with prostaglandins or oxytocin and should be performed only when there is a clear medical indication as there are chances of failure resulting in caesarean delivery. Study aimed to collect patient information including age, parity, gestational age, body mass index, Bishop score, indication of caesarean section and fetal outcome in labour induced patients and to assess whether there is a statistical significance between labour induced women having a vaginal versus caesarean delivery. Material and methods: This study was carried out in Rajendra Institute of Medical Sciences, Ranchi; Chandrama Imaging and Health care, Ranchi and Seva Sadan, Daltonganj. 400 women were included in the study, all of whom had been induced for labour from March 2014 to March 2017. For each case of caesarean delivery after failed induction, two women with successful induction of labour were selected as controls. Result: Women with Bishop Score <6 were induced with intra vaginal prostaglandin E1 or E2 and women with Bishop Score ≥ 6 were induced with oxytocin infusion. Caesarean delivery was significantly associated with poor Bishop Score and induction by prostaglandin. The most common indications for induction of labour in both groups were postdated pregnancy. Most common indication for caesarean section was nonreassuring fetal heart rate. Conclusion: Induction in the setting of unfavourable cervix especially in nulliparous women can result in failed induction and an increased likelihood of caesarean delivery.
Authors and Affiliations
Neelam Nalini, Bijeta A, Shashi Kumari, Jitendra Kumar Singh
Keywords
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