Outcome of Induction of Labour: A Prospective Study in a Tertiary Care Centre from Aurangabad, Maharashtra

Abstract

Introduction: Induction of labour is an intervention carried out to artificially initiate uterine contractions causing progressive dilatation and effacement of the cervix leading to vaginal delivery. There should be a clear medical indication for induction of labour. Induction of labour is a challenge to obstetricians, patients and fetuses. Objectives: To evaluate the causes of induction of labour and its neonatal outcome Material and Methods: The prospective observational study was conducted from July 2019 to December 2019 in the Department of Obstetrics and gynaecology, Mahatma Gandhi Mission Medical College and Hospital, Aurangabad, Maharashtra. During this period 1504 patients delivered to our hospital, out of which 174 were induced (11.56%). Foley’s catheter with Dinoprostone gel, only Dinoprostone gel, oral Mifepristone and sweeping of membrane were methods of induction. Written consent was taken of each patient after explaining the procedure in detail to the patient and her relatives. Results: In our study, the rate of induction in our hospital was 11.56%. 84.48% of patients were between the ages of 19-29 years. We have induced 48.28% booked patients. In our study 44.25% of patients were primigravida. Most of them were between the gestational ages of 37-40 weeks. Most of the patients were induced for postdatism (35.05%) and PROM (28.73%). The average induction delivery interval was 10-20 hours.83.34% of patients delivered vaginally. Only 14.97% of babies required NICU. Conclusion: Induction of labour is safe and beneficial in high-risk pregnancy. In our study, postdatism and PROM were common indicators of induction with good perinatal outcome. It has to be monitored carefully to avoid complications.