Fetomaternal outcome following labour induction in oligohydramnios and borderline liquor: a retrospective study in a tertiary care hospital

Thomas, Jyothi Susan; Daniel, Mary; Selvaraj, Sangeetha

doi:10.18203/2320-1770.ijrcog20184517

Cited by 2 publications

(1 citation statement)

References 8 publications

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“…There is evidence connecting a decrease in amniotic fluid volume to higher rates of maternal sickness, foetal morbidity, and mortality. 1 Hence, amniotic fluid is of prime importance in maintaining balanced fluid, electrolyte and body temp cle, bone and lungs. Fetal urine is the main component of erature of the fetus.…”

Section: Introductionmentioning

confidence: 99%

The Fetomaternal Outcome of Induction of Labour in Idiopathic Oligohydramnios

Kinza Alam,

Afnan Rizwan,

Amarta Imdad Hussain

et al. 2023

Ann Pak Inst Med Sci

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Objective: To assess fetomaternal outcome of induction of labour in patients with idiopathic oligohydramnios at ANTH to reduce the morbidity associated with increased cesarean section rate and deliver alive healthy babies. Methodology: This quasi experimental study was conducted in the department of Obstetrics & Gynecology, Alsuffah hospital Rawalpindi and Akbar Niazi Teaching Hospital, Islamabad, over a period of six months from June to Dec 2022. A detailed history was taken followed by a thorough general physical examination and obstetric examination. Routine investigations were performed along with obstetrical ultrasonography. CTG was performed and after ensuring a reactive trace along with no contraindication to vaginal delivery; were offered option of induction of labour after informed consent on predesigned consent form with tab. prostin E2 3mg maximum of two doses with 6 hours apart via vaginal route as per induction of labour protocol at 37 weeks or beyond and were followed-up in OPD till postnatal follow up after 1 week. Results: The mean age of the patients was 26.85 ± 0.46 years. Majority 30 (41.1%) of the patients had parity of 3 or more and most 31 (42.47%) of the females in the study were given induction of labor at 39 weeks’ gestation followed by 27 (36.99%) were given IOL at 38 weeks. The mean value of the amniotic fluid index was 4.35 ± 1.84. Main bulk 34 (46.58%) of the females delivered with cesarean section and most common indication for cesarean section Pathological CTG in 15 (20.55%) patients. Mean birth weight was recorded to be 3.25 ± 0.86 kg and about one third of the babies, 24 (32.88%) babies required admission in NICU. A large number 31 (42.47%) of the children had low APGAR score (< 7) at 5 minutes. Conclusions: The development of foetal distress, meconium-stained liquor, caesarean delivery rates, NICU admission rates, and low birth weight are all linked to pregnancies with isolated oligohydramnios.

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Section: Introductionmentioning

confidence: 99%

The Fetomaternal Outcome of Induction of Labour in Idiopathic Oligohydramnios

Kinza Alam,

Afnan Rizwan,

Amarta Imdad Hussain

et al. 2023

Ann Pak Inst Med Sci

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Magnitude Of Birth Outcome After Induced Labor Among Mothers Delivered In Nigist Eleni Mohammed Memorial Comprehensive Specialized Hospital, Hosanna Town, Hadiya Zone, Southern Ethiopia. Cross-Sectional Study

Worku¹,

Assebe²,

Gobena³

et al. 2023

Preprint

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Background. “Induction of labor is not risk free, despite its importance for ending risky pregnancy compare to spontaneous onset of labor it has potential harms and it increases the rate of different maternal and neonatal complications.” Due to this WHO recommends IOL with only clear medical indications when the benefit more significant than potential harms. Even though there is a few study on IOL that address magnitude of birth outcome after IOL no study is found that determine the contributing factors to birth outcomes after IOL in Ethiopia especially in my study area, therefore the factors that affect the birth outcome after IOL need to be clearly understood. Objective: To assess the magnitude birth outcome after induced labor and associated factor among child bearing mother who deliver in NEMMCSH in the last two years (January 01, 2019 to December 31, 2020 GC). Data was collected from June 25 to July 09, 2021 GC. Methods: Hospital based retrospective cross-sectional study was conducted on 778 study participants selected by systematic random sampling technique among all child bearing mothers delivered by induction in NEMMCSH from January 01, 2019 to December 31, 2020 GC. Data was collected from patient cards, delivery registration log books and operation note books. Then data were entered and coded using EPI data version 3.1 and analyzed using SPSS version 25. Bivariate and multivariate logistic regression analysis was carried out to determine the association different potential factors with the birth outcome after IOL. Independent predictors were determined using adjusted odd ratio with 95% CL at p value < 0.05 in multivariate logistic regression analysis. Results: In this study the magnitude of still birth after IOL was 9.6%. Rural residence [AOR=3.59; 95%CI:(1.32, 9.80)], maternal chronic medical diseases [AOR=3.58; 95% CL: (1.23, 10.41)], history of previous still birth [AOR=7.45; 95%CI: (2.45, 22.38)], Partograph use [AOR=0.034; 95%CI: 0.01,0.09)], delivering < 8 hours[AOR=0.13; 95%CI: (0.03,0.56)] and delivering within 8-16[AOR=0.28; 95%CI:(0.10, 0.76)] hours were significant predictors for still birth. Conclusions: The magnitude of still birth after IOL was relatively high in the study area. Variables which increase the likelihood of still birth were, living in rural area and previous history of still birth. The recommendations also forwarded for health care provider, NEMMCSH, different stakeholders and for researchers.

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Fetomaternal outcome following labour induction in oligohydramnios and borderline liquor: a retrospective study in a tertiary care hospital

Cited by 2 publications

References 8 publications

The Fetomaternal Outcome of Induction of Labour in Idiopathic Oligohydramnios

The Fetomaternal Outcome of Induction of Labour in Idiopathic Oligohydramnios

Magnitude Of Birth Outcome After Induced Labor Among Mothers Delivered In Nigist Eleni Mohammed Memorial Comprehensive Specialized Hospital, Hosanna Town, Hadiya Zone, Southern Ethiopia. Cross-Sectional Study

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