DOI: 10.36347/sjams.2017.v05i01.053

Pages: 273-281

Labour induction should be performed where benefit out weights potential harm. However, it is not always without risk. The objective of our study was comparative analysis of fetomaternal outcome associated with labour induction. This was a prospective longitudinal study including 966 pregnant women at or beyond term subjected to induction of labour (IOL).Another 966 pregnant women in spontaneous labour was taken as control. The incidence of labour induction was 13.6%.Majority were in the age group of 21-30 years(73.1%) and nullipara (59.6%).Most of the patients were term (83.6% ) followed by post-term (16.4%).Majority were induced with favourable Bishop score(BS) ≥ 5(70.7%).71.4% were induced with oxytocin only and 28.6% with artificial rupture of membranes (ARM) + oxytocin .The most frequent indication was prelabour rupture of membranes (PROM) (39.8%). 69.7% had vaginal delivery with induction delivery interval (IDI) of <18 hours in 61.3%. Caesarean section rate was 30.3%, failed induction (31.3%) being most common indication. Maternal outcome in terms of postpartum haemorrhage (PPH) (20.3%), hysterectomy(2.28%), ICU admission(3.52%),hospital stay of > 7 days (15.8%), puerperial pyrexia(4.35%) were observed more in induced group. The adverse perinatal outcome included birth asphyxia(15.4%),low 5 minute Apgar score (15.8%),neonatal jaundice(19.6%),low birth weight(LBW) (5.18%),admission to NICU(26.2%) and perinatal mortality(6.00%). Although the duration of labour was less, IOL in our setting in order to get vaginal delivery is affected by a high rate of adverse fetomaternal outcome, associated maternal morbidities being contributing factors.