DOI: 10.36347/sjams.2014.v02i05.014

Pages: 1577-1580

The objective of this study was to compare the progress and outcome of induced versus spontaneous labour among nulliparous women using the modified WHO partograph. It was a study comparing nulliparous women with induced labour and those with spontaneous onset of labour, monitored by using modified WHO partograph. 145 women with term singleton pregnancy were included in each group. Outcome measures were the mean duration of labour, mode of delivery and the feto-maternal outcomes. There was no difference in the mean age in two groups. More women had spontaneous vaginal delivery among those with spontaneous labour (88.96% versus 80%) (p=0.0396). The mean duration of second stage of labour was significantly more in induced labour (16.34 minutes) than in spontaneous labour (14.72 minutes) (p=0.0212). The mean duration of latent phase was significantly reduced in induced (5.34 hours) as compared to spontaneous group (6.82 hours) (p=0.00). The mean APGAR scores were comparable in two groups. Induced labour is comparable to spontaneous labour regarding fetomaternal outcomes but with increased rate of caesarean deliveries.