Review of Induction Labour and Foetal Outcomes-A Retrospective Analysis

Objective: To examine the incidence, success rate and foetal outcomes of induction of labour.

Methods: A complete one year retrospective data were collected from hospital data base. The women undergone induction with various medical inducing agents from 28 weeks onwards with single tone pregnancy without severe PIH, eclampsia APH, foetal distress and anomalies were included in the study.

Results: Total numbers of deliveries registered was 1398. Out of them normal deliveries were 598 and C-sections were 800. The induction of labour accounts for 198 nos. The incidence rate was 12.01% .success rate of induction with vaginal delivery was 54.1%.The most common drug used was vaginal misoprostol (77.97%). The common indication was post-dated pregnancy and fetal complication mostly appeared was fetal distress (25%). The parity was significantly associated with mode of delivery and gestational week with complications.

Conclusion: Induction of labour is a choice for treating labour for most of the obstetrician in case of post dated pregnancy, oligohydramnios and failure to progress or in a slowed labour. As observe, though inducing agent mostly vaginal misoprostol is associated with meconeum stained liquor but it has advantages of accelerating cervical dilatation and uterine contractions with one or repeated doses. Health care professionals must remain awared of its' adverse effects and their immediate management.