Comparison Between Electve Labour Induction and Spontaneous Onset of Labour in Prolonged Pregnancy 75

Alyasin, Zaineb T; Al-Salami, Khilud Salim; abbas, Halla Abd al

doi:10.33762/bsurg.2010.55178

Cited by 2 publications

(2 citation statements)

References 12 publications

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“…The main maternal morbidity that complicates postdate pregnancy was postpartum haemorrhage consequent to uterine atony (16.4%) followed by prolonged labour (15.2%) and perineal tears (5.2%), which were significantly higher in the cases than controls. Nikita (14) in civil hospital, Ahmedabad reported that the most frequent maternal complications were prolonged labour (68.2%) followed by postpartum haemorrhage (40.9%), while Alyasin (12) in Basrah reported no difference between the cases and the controls regarding postpartum blood loss, but in agreement with our study regarding neonatal complications. In our study, high parity (≥5) was associated with higher postpartum haemorrhage in both the case and control groups.…”

Section: Resultssupporting

confidence: 89%

Maternal and neonatel outcome among those with postdate pregnancy

Mohammed¹

2019

JFacMedBagdad

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Background: Postdate pregnancy is that pregnancy, which goes beyond 40 weeks gestation being calculated from the first day of the last menstrual period and first trimester ultrasound. It occurs in approximately 10% of singleton pregnancies. Perinatal and maternal complications of such pregnancies have always been underestimated. Methods: A prospective case-control study of (600) pregnant women fulfilling the inclusion criteria( included: Gestational age range between (37 - 42 completed weeks), history of regular menstrual cycles and known date of the last menstrual period and/or with early pregnancy ultrasound and a singleton pregnancy with vertex presentation ), divided into (250) pregnant women as case group (beyond 40weeks of gestation) and (350) pregnant women as control group (between 37 completed weeks to 40 weeks of gestation).These mothers were admitted to the labor room at Basrah Maternity and Child Hospital from [1st of January to 1st November 2018]. Objectives: The aim of this study is to identify whether the prolongation of pregnancy beyond the expected date of delivery has negative effects on the health of both the mothers and the neonate. Results: The majority of both cases and controls were between 18 and 30 years of age (62.4% and 56.3 % respectively).and multiparous (1_4) deliveries; 55.6% and 58% respectively). Among the cases, postpartum haemorrhage was the most frequent maternal complication (16.4%), followed by prolonged labour(15.2%), perineal tear (5.2%), cervical tear and shoulder dystocia (1.6% for both) . The newborns of postdate pregnancies tend to be heavier at birth, where (19.2 %) were macrosomic (birth weight ≥ 4000 g) and (51.6%) weighed (3500-4000g). The majority (77.6%) had an Apgar score of (≥ 7). Meconium stained liquor, meconium aspiration syndrome, admission to the neonatal intensive care unit and birth asphyxia occurred in (23.2%, 12.4%, 18.8% and 1.2%) respectively. There were no birth injuries, intrauterine growth retardation or stillbirth in both cases and controls. Conclusion: In postdate pregnancies, there is a definitive risk on mother and baby.

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Section: Resultssupporting

confidence: 89%

Maternal and neonatel outcome among those with postdate pregnancy

Mohammed¹

2019

JFacMedBagdad

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“…Orji EO et al [10] came to the conclusion that more women in the spontaneous group gave birth vaginally compared to those in the induced group and that there were fewer caesarean sections performed on spontaneous group members. Alyasin ZT et al [11], conducted a study and they compared elective labour induction with spontaneous onset of labour in post-dated pregnancy and they concluded that rate of caesarean section was more in induced group. In a study done by Jankiraman V et al [12], they concluded that induced nulliparous had increased rate of caesarean section compared spontaneous onset labour.…”

Section: Discussionmentioning

confidence: 99%

Nulliparous Women: Examining Fetal and Maternal Outcomes in Induced Versus Spontaneous Labor

Jamakhandi,

Chandnani

2023

Natl J Med Res

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Introduction: The goal of modern obstetrics is to enhance feto-maternal health. In certain cases, interventions are required to safe-guard it. The most frequent interventional procedure is currently in-duction of labour. This study was conducted to assess feto-maternal outcome in induced women in comparison to spontaneous labour in nullipara. Methodology: This was a prospective study conducted among 55 nulliparous pregnant women at or beyond 37 weeks of gestation who were in need of induction. Progress of labour was monitored with modified WHO partograph. All consecutive patients who entered into spontaneous labour (n=55) were also included. Results: Mean cervical dilatation in ‘spontaneous labour’ group was 4.48 (± 0.65) cm and in ‘induction labour’ group was 4.4 (± 0.62) cm. In ‘spontaneous labour’ group, 36.4% required augmentation whereas in ‘induction labour’ group 67.3% required. In former, 81.8% had normal vaginal deliveries, whereas 63.6% in the later group. Mean du-ration of first stage of labour in ‘spontaneous labour’ group was 11.42 (± 2.32) hours and in ‘induction labour’ group was 10.36 (± 2.78) hrs. The rate of maternal complication was significantly more in ‘in-duction labour’ group compared to ‘spontaneous labour’ group. There was no significant difference in neonatal outcome in new-born in both the study groups. Conclusion: Induction of labour is associated with higher rate of LSCS. Duration of first stage of labour is significantly shorter in in-duced women, however duration of second and third stage of labour was almost similar to spontaneous labour. Induction of labour is a safe procedure.

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Comparison Between Electve Labour Induction and Spontaneous Onset of Labour in Prolonged Pregnancy 75

Cited by 2 publications

References 12 publications

Maternal and neonatel outcome among those with postdate pregnancy

Maternal and neonatel outcome among those with postdate pregnancy

Nulliparous Women: Examining Fetal and Maternal Outcomes in Induced Versus Spontaneous Labor

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