TRENDS AND OUTCOMES OF INDUCTION OF LABOUR AMONG PRIMIGRAVIDA AT TERM

Abstract

Objectives: To assess the frequency of method used for induction of labour among primigravida and the outcome associated with induction of labour among primigravida at term.

Study design: Descriptive longitudinal study

Study place and period: Department of Obstetrics and Gynecology, CMH Gujranwala from May 2025 till 15 July 2025.

Methodology: Two hundred and forty patients fulfilling the selection criteria were enrolled and  method for induction of labor was noted as sweeping of membranes, pharmacological (misoprostol) or Foley’s catheter. All females were admitted and followed-up until delivery. During labor, fetal surveillance was done. The time from induction to initiation of labor and delivery and mode of delivery were noted. After delivery, females were examined for 24 hours to assess postpartum hemorrhage. NICU admission were also noted. All this information will be recorded in proforma and analyzed in SPSS 25.

Results: The mean age of females was 26.20 ± 5.22 years. The mean gestational age at induction was 39.04 ± 1.46 weeks. Out of 20 females, 26 (10.8%) received sweeping of membranes, 166 (69.2%) females received misoprostol (pharmacological method) while 48 (20%) females received Foley’s catheter for induction of labor. The mean time from induction to initiation of labor was observed as 5.61 ± 1.73 hours, while total time from induction to delivery was noted as 12.00 ± 2.96 hours. There were 143 (59.6%) deliveries occurred within 12 hours of induction of labor. Out of 240 females, 170 (70.8%) females had spontaneous vaginal delivery while 70 (29.2%) females underwent cesarean section. NICU admissions were required in 75 (31.3%) cases, who had fetal distress during labor and delivery. Postpartum hemorrhage occurred in 94 (39.2%) females.

Conclusion: Misoprostol is found to be more effective for induction of labor at term with least chances of post-delivery complications.