Induction of Labour-Solution of Many Problems; One Year Experience in Gynae C Unit Ayub Teaching Hospital

Abstract

Objective: To observe the success rates of different methods of labor induction in relation to various modes of delivery and outcomes and to identify successful inductions where patients progress into labor.

Methodology: This descriptive cross-sectional study was carried out at the Gynecology C Unit, Ayub Teaching Hospital, and Abbottabad, Pakistan from Dec 2021 to Nov 2022. Inclusion criteria was all pregnant patients with gestational age from 28 to 42+6 weeks, singleton, and cephalic needing induction of labor for different indications while patients with previous caesarean section and non-cephalic presentations were excluded from this study. Structured Performa was used for data collection. Consent from the patient to enter the study was obtained verbally. The identity and personal information of patient was kept confidential.

Results: A total of 204 patients were induced, out of which 92.1% were successful inductions and 8.82% were failed inductions. About 81% patients delivered vaginally, and 18.6% were delivered through caesarean sections. Out of 204 patients induced, 106 inductions were done with pharmacological means (Dinoprostone), among which 48% were successful and 3.9% were failed.95 inductions were done with both pharmacological plus mechanical methods, among which 42.6% were successful and 3.9% were failed.3 were induced mechanically, mechanical all were successful.

Conclusion: Induction of labor is a beneficial procedure for pregnant mothers. Although it has risks associated with it but it also decreases the rate of Caesarean-section deliveries and the risks associated with it. Mechanical methods used along with pharmacological methods have more success rate than only pharmacological methods used.