Delivery Outcome Among Induced Versus Spontaneous Labor in Nulliparous Women

Abstract

JDUHSstudy to evaluate the rate of induced labor in nulliparous women and to compare delivery outcome between induced and spontaneous labor at term. METHODSThis descriptive study was carried out at Obstetrics and Gynaecology department, Patel Hospital, Karachi from April to October 2019. All women of age between 20-40 years presenting at gestational age between 37-42 weeks assessed on dating scan with singleton pregnancy confirmed on ultrasound, gestational hypertension (BP>140/90 mmHg), gestational diabetes (BSR>140 mgdl), intact membranes on examination, and active phase of labor with cervical dilation at least 4cm were consecutively enrolled. Whereas patients with non-cephalic presentation (on USG), previous scar, anemia (Hb<10g/dl), eclampsia (BP≥140/90mmHg with convulsions), placenta previa, cephalopelvic st disproportion, multiple pregnancy (with 1 noncephalic twin), have previous uterine surgery on history and were confirmed through discharge card, multiple gestation on ultrasound, gestational age less than 28 weeks, caesarean Section done for reasons like ABSTRACT Objective: To assess the delivery outcome in nulliparous women at term and to compare the outcomes among induced versus spontaneous labor. Methods: A descriptive study was conducted at Obstetrics and Gynecology department of Patel Hospital, Karachi from April to October 2019. All women with age between 20-40 years, gestational age between 37-42 weeks, and singleton pregnancy were consecutively included. Mode of delivery and Apgar score at 5 minutes were noted. Results: Of 172 women, the mean age of the women was 29.9±4.64. Vaginal delivery was reported in 102 (59.3%) and cesarean section in 70 (40.7%) women. Cesarean delivery was found to be significantly higher among women with >29 years of age (pvalue 0.006), >38 weeks of gestational age (p-value <0.001), obesity (p-value <0.001), and induction of labor (p-value 0.020). Mean APGAR score at 1 min was 7.45 ±0.69 and APGAR score at 5min was 8.84 ±0.41. Mean APGAR score at 5 minutes was significantly higher in women vaginal delivery than that of women with cesarean delivery (p-value 0.034). Conclusion:The frequency of vaginal delivery was found higher in nulliparous women presenting at term. Moreover, APGAR score at 5 minutes was found to be significantly different in both groups.

Health Emergency with COVID-19 and Supporting Role of Community Pharmacists in Pakistan

“…Therefore, during this outbreak it is noteworthy to investigate how the pharmacists are carrying out their conventional rules along with additional and new roles, worldwide [14]. Pharmacists in the community facilities and retail outlets are contributing as an essential part in controlling the viral spread in line with the doctors and allied health care workers, who are battling at the frontline [15].…”