DOI: 10.36347/sjams.2018.v06i10.089

Pages: 4116-4119

Over recent decades, more and more pregnant women around the world have undergone induction of labour (artificially initiated labour) to deliver their babies. A major concern of labour induction is that elective labour induction may increase the risk of caesarean section (CS). The purpose of this study was to evaluate the risk of Caesarean section with labour induction versus spontaneous labour in nulliparous and multiparous women at term in Indian population. To compare whether the caesarean section (CS) rate is significantly higher among whose labour was induced compared to those who had spontaneous labour at term pregnancy. A cross sectional descriptive study based on convenience sample in which available data from hospital is used. Data of women whose labour was either induced (induction group, n=713) or spontaneous (spontaneous group, n=1325) at 37+0 to 41+6 weeks of gestation from January 2017 to December 2017 at Mahatma Gandhi Medical College and Hospital, Jaipur. Out of 2038 women in the study, 713 were induced and 1325 were those who went into spontaneous labour. The rate of caesarean section among induced group was 37% (vs 18.4% in spontaneous group) and was statistically significant when compared to spontaneous group. The study concludes that labour induction in carefully selected low risk population, excluding the mentioned risk factors causes an increased risk of caesarean section with most common indication being failure to progress.