Outcome of Induction of Labor: A Prospective Study

Lamichhane, Sabina; Subedi, Sandip; Banerjee, B. D.; Bhattarai, Rupak

doi:10.21276/aimdr.2016.2.6.og1

Cited by 11 publications

(19 citation statements)

References 25 publications

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“…The Incidence of induction across different settings varies from 5 to 22% of all labor room admissions. [1][2][3] Induced labor is artificial stimulation of uterine contractions before the onset of labor, any time after the fetus attains viability with the main aim to achieve vaginal birth. 4 Pharmacological modes of induction of labor include prostaglandins (per oral or intra-vaginal or intra-cervical) and oxytocin .Successful induction of labor is related to the condition or state of the cervix.…”

Section: Introductionmentioning

confidence: 99%

“…4 Induction of labor with the help of prostaglandins offer the advantage of promoting cervical ripening along with stimulating the contractility of the myometrium. [1][2][3] The indications for Induction has increased so much in modern obstetrics to avoid the slightest risk to baby or mother that we are electively inducing labor at 39 weeks of pregnancy; though we know that induction is carried out routinely in postdated pregnancies. Many studies have indicated that about 10% of pregnancies remain undelivered beyond 42 weeks, so timely induction remains an important statement to bring out better labor outcomes in both baby and mother.…”

Section: Introductionmentioning

confidence: 99%

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A study of effect of oral PGE1 and cervical PGE2 on induction of labor and mode of delivery

Mukherjee

Valson

Balaji³

2018

Int J Reprod Contracept Obstet Gynecol

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Background: Induction of labor is one of the most important procedures done by the Obstetricians. Induction of labor with the help of prostaglandins offer the advantage of promoting cervical ripening along with stimulating the contractility of the myometrium.Methods: 200 pregnant women with singleton pregnancy both nulliparous and multiparous, were included in the study at term gestation (>39weeks) with Bishop’s score <6, and reactive NST. The subjects were divided in to two groups Group A including patients who were given oral PGE1 - 50 mcg Tab, and Group B with cervical PGE2, 0.5 mg, gel. The outcome indicators were recorded in both Group A and Group B and analyzed. The mean time taken from induction to vaginal delivery in Group A was 628±67 minutes and in Group B was 839±118 minutes. Incidence of LSCS in Group B when compared to Group A (p value <0.005).Results: Incidence of LSCS in Primi’s in Group B compared to Primi’s in Group A was statistically significant (p value 0.009). Non-progression of labor was observed to be the major indication for LSCS in Group B. Meconium stained labor was found to be the major indication for LSCS in Group A.Conclusions: The study concludes that using 50 mcg oral misoprostol, is an effective and safe mode of induction of labor in comparison to PGE2 gel. Vaginal deliveries are more with the use of oral misoprostol and the induction to delivery interval is also lesser than that in cervical PGE2 use.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A study of effect of oral PGE1 and cervical PGE2 on induction of labor and mode of delivery

Mukherjee

Valson

Balaji³

2018

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

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“…The reasons for considering induction are many and vary from obstetrician to obstetrician and from country to country [8]. The most common indication that requires induction of labor is postdated pregnancy [9][10][11][12][13][14][15][16][17][18][19][20][21][22]. Another frequently cited indication is term premature rupture of membrane [12,13,23,24].…”

Section: Introductionmentioning

confidence: 99%

“…Nevertheless, the hypertensive disorder remains a rare indication, rather this requires induction in higher rate [14,20,21,25,26]. The less frequent indications are oligohydramnios, IUGR, gestational diabetes, fetal distress, macrosomia, fetal death, decreased fetal movement, uncomplicated twins, polyhydramnios, Rh isoimmunization, chorioamnionitis, heart disease, and other fetal indications [9][10][11][12][13][14]. In a meta-analysis, it is also observed that the common indications cited by many researchers are post-term pregnancy, PROM, oligohydramnios, twins, macrosomia, preeclampsia, diabetes, and IUGR [23].…”

Section: Introductionmentioning

confidence: 99%

“…The outcomes of induction of labor are comparatively better than the spontaneous labor as reviewed from certain studies, while other studies found higher adverse outcomes associated with induction than the spontaneous labor. The causes for failure are mostly failed induction, fetal distress, undiagnosed CPD, meconeum stained liquor, nonprogress of labor, and prolonged latent phase [10][11][12][13]27,28].…”

Section: Introductionmentioning

confidence: 99%

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Induction of Labor by Prostaglandin: A Review for Indications and Risk for Cesarean Section

Tripathy

Baby

2017

Asian J Pharm Clin Res

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Objective: Labor induction by medication is now preferred by many obstetricians. The impact of induction remains ambiguous, although many studies and systematic reviews have been conducted. Few studies have reported for its better outcomes while other studies with poor outcomes. The objective of the study is to identify the common indications of induction and the risk of cesarean section after induction. Methods:Various standardized databases, such as Pub Med, Scopus, and Google Scholar, were used to collect the scientific studies, where prostaglandin was used as drug of choice for induction of labor. The key words used were induction of labor, indications of induction, induction by misoprostol, induction and risk of cesarean section, etc. The survey spans over 22 years of study articles published from the year 1995-2017.Result: A total of 112 studies have been included to analyze the indications and risk of cesarean section. The most common indication found in most of the studies was post-term pregnancy. The risk of cesarean section varied from 3% to 48.7%. The common reasons for which the cesarean section was planned were, failed induction, nonprogress of labor, fetal distress, and undiagnosed CPD. Conclusion:Most of the studies recommend induction of labor as a safer option with lower risk of c-section.

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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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Outcome of Induction of Labor: A Prospective Study

Cited by 11 publications

References 25 publications

A study of effect of oral PGE1 and cervical PGE2 on induction of labor and mode of delivery

A study of effect of oral PGE1 and cervical PGE2 on induction of labor and mode of delivery

Induction of Labor by Prostaglandin: A Review for Indications and Risk for Cesarean Section

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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