Maternal Outcome After Induction of Labour in Postdate Pregnancy

  • Haleema Shehnaz Bhatti Consultant Gynecology/ Ex registrar Benazir Bhutto Hospital, Rawalpindi
  • Robina Kouser Professor of Obs and Gynae, MIMC Mirpur AJK
  • Zunairah Hamayun Demostrator, Dept. of Physiology, Multan Medical & Dental College, Multan
  • Haider Ali 4th year, MBBS student, Shalimar Medical College, Lahore
Keywords: Postdate pregnancy, Induction of labour, mode of delivery, Prostin

Abstract

Objective: To achieve evidence-based management strategy favoring intervention reducing fetomaternal complications.
Methodology: This descriptive case series was conducted at Department of gynaecology and obstetrics, Benazir Bhutto Hospital Rawalpindi from February 2015 to August 2015. One Hundred & Twenty patients with postdated pregnancy were admitted along with their demographic, medical and obstetric details. Informed consent was obtained from all the participants. Induction of labour was done at 40+7 wks of gestation with vaginal tablet Prostin repeated at 6 hours (max 3 doses) and followed until delivery.
Results: Mean age of the patients was 25.76 ± 4.07 years. Distribution of parity reveals, 114 patients (95.0%) were para 0-3, while 6 patients (5.0%) were para 4-6. Mean parity was 1.10 ± 1.44.Gravidity was, 52 patients (43.4%) were primigravida, 55 patients (45.8%) were gravida 2-4 and 13 patients (10.8%) were gravida 5-7. Out of 120 patients, in 76 patients (63.3%) mode of delivery was vaginal delivery and in 44 patients (36.7%) caesarean section was performed. The result shows that prostin significantly reduced the need of cesarean section in postdated pregnancies. (P value that is less than 0.05). These results were analyze on SPSS 21.
Conclusion:  Induction of labour in postdate pregnancy with vaginal tablet Prostin 3mg reduces the incidence of cesarean section.

Published
2019-09-04
Section
Original Articles