Uterine Rupture During Syntocinon Induced Labour in Patients with Previously single Caesarean Compared To Not Syntocinon Induced Labour

Abstract

Objective: To determine the uterine rupture among cases with previously one scar caesarean during labor induced with syntocinon compared to not induced with syntocinon.

Methodology: This randomized control study was conducted at department of Gynaecology and Obstetrics Bahawal Victoria Hospital Bahawalpur during 1-year period from 1st November 2016 to 31st October 2017. A total of 120 patients fulfilling the inclusion criteria were selected and placed randomly into two groups i.e. Group A (induction of labour with syntocinon) & Group B (without syntocinon induction), by using lottery method. Uterine rupture was noted by the researcher.

Results: The mean age of women in group A was 23.46 ± 5.97 years and in group B was 22.99 ± 5.63 years. No major difference among mean gestational ages of 38.68±1.05 weeks in group A and 38.61±1.12 weeks in group B was observed. Uterine rupture was seen in 29 (48.33%) patients in group A (induction of labour with syntocinon) and 13 (21.67%) patients in group B (not induced with syntocinon) with p-value of 0.002.

Conclusion: Uterine rupture was higher among cases with previously one caesarean section during labour induction with syntocinon versus without.