Background and objectives: Induction of labour means stimulation of contractions before the birth starts spontaneously, with or without ruptured membranes. The most common indications include oligohydramnios, pre-labour rupture of the membranes, high blood pressure during pregnancy, severe fetal growth restriction, post-term pregnancy, and var-ious maternal medical conditions such as chronic hypertension and diabetes. The aim of the study was to find out the different indications of labour and associated obstetrical factors in a local tertiary hospital. Methods: A cross-sectional study was conducted among 120 parturient women who attended a delivery room in the Maternity Teaching Hospital in Erbil City from the period of 2nd June to 2nd October 2020. After reviewing the literature, a questionnaire was pre-pared to obtain socio-demographic data, data related to reproductive characteristic and data related to the indications for labour induction. The data were analyzed using descrip-tive and inferential statistical approaches. Results: The study included 120 patients with the highest percentage of the patients (49.1%) were 16 to 23 years old and more than half of the sample (51.6%) had a post-term pregnancy, gestational hypertension and pre-eclampsia (15%). There were highly significant statistical differences between parity, gestational age and indication of labour induction, and significant differences between gravidity and antenatal care visits and indi-cations for labour induction. Conclusions: The majority of the sample had a post-term pregnancy of 40 and 42 weeks as an indication for induction of labour followed by gestational hypertension and pre-eclampsia, oligohydramnios and pre-labour rupture of membrane. There was a statistical-ly significant difference between the antenatal care visit and parity with the induction of labour.
Background and objectives: Induction of labor refers to the stimulation of contractions before the labor starts spontaneously, with or without ruptured membranes. The aim of the present study was to compare the maternal outcomes of induced versus spontaneous labor. Methods: A comparative study was conducted in Maternity Teaching Hospital in Erbil city from February 2020 to February 2021. Using purposive (non-probability) sampling techniques, 240 pregnant women (120 with induced labor and 120 with spontaneous labor) were recruited into the study. Through direct interviews, a proper researcher-designed questionnaire was utilized to collect required data. The collected data were analyzed using descriptive and inferential statistical approaches. Results: There were significant to highly significant differences between the two delivery methods in terms of maternal outcomes, emergency cesarean section, postpartum blood loss, need for blood transfusion, uterine atony, perennial laceration, and postpartum hospital stay. Conclusions: There were the significance to highly significance difference of the maternal outcomes between induced and spontaneous labor.
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