DOI: https://doi.org/10.36347/sjams.2024.v12i12.001

Pages: 1685-1689

Background: Induction of labor in a scarred uterus is a contentious issue in obstetric practice, but in properly selected and managed instances, the outcome is positive. When the infant is unsalvageable or has IUFD, a vaginal delivery is always preferred. Many professional organizations urge induction of labor in previous LSCS. Objective: To observe the role of intracervical catheterization for induction of labor for IUFD with the previous one Lower Segment Caesarean Section. Materials and Methods: The Observational study was conducted in the Department of Obstetrics & Gynecology, Dhaka Medical College Hospital. Dhaka, Bangladesh during July 2020 to December 2020, Patients with singleton pregnancy with IUFD, at ≥28 weeks of gestation were included in this study. Details of history, general physical and systemic examination, ultrasonography, basic laboratory investigations like haemoglobin level, and DIC profile were recorded. The method of induction decided by each consultant was noted, and results was analysed. All the data was collected with the above mentioned methods and entered in to SPSS version 23. Results: Forty-four (84.6%) patients had effective induction, with 28 (63.6%) having catheter expulsion in ≤12 hours and 16 (36.4%) having more than 12 hours. Forty-three (82.7%) were augmented with oxytocin, three (5.8%) had scar soreness, and eight (15.4%) failed induction. Failed ICC was discovered in 8 cases, with 5 (62.5%) using dinoprostone gel followed by vaginal birth, 2 (25.0%) having LUCS, and 1 (12.5%) having laparotomy. The induction delivery interval was 16.3 ± 5.5 hours. Forty-nine (94.2%) patients had normal vaginal birth, four (7.7%) had PPH, three (5.8%) had fever, two (3.8%) were admitted to the intensive care unit, one (1.9%) had a laparotomy, and one (1.9%) had a ruptured uterus. Induction failed in 1 (1.9%) of patients with past vaginal delivery, and 7 (13.5%) of those without prior vaginal birth. Conclusion: Induction is safe in carefully ....