A Study of Fetal Outcome in Induced versus Spontaneous Labor in Nulliparous Women at 41 Weeks of Gestation: Experience from a Tertiary Care Hospital | [Pakistan Journal of Medical and Health Sciences • 2020]

Author(s):

1. AMNA AZIZ: Nishtar Medical University & Hospital Multan, Pakistan

2. SUMAIRA IFTIKHAR: Nishtar Medical University & Hospital Multan, Pakistan

3. ANAM FATIMA: Ghazi Khan Medical College,Dera Ghazi Khan, Pakistan

4. MUHAMMAD NASIR: King Edward Medical University, Lahore, Pakistan

5. UMAIRA ALI: Community Medicine, Rawalpindi Medical University, Rawalpindi, Pakistan

6. FATIMA ZIA: Bahawal Victoria Hospital, Bahawalpur, Pakistan

Abstract:

Aim: To study the frequency of adverse fetal outcomes and to make comparison of the adverse fetal outcome in induced labor versus spontaneous labor in nulliparous womenat 41 weeks of gestation. Study design: Comparative, cross-sectional study Place and duration of study: Obstetrics & Gynecology Department Nishtar Hospital, Multan from 1st July 2015 to 31st January 2016. Methods: All nulliparous of 18-35 years of age with singleton pregnancy at 41 weeks of gestation were included in the study. Effect modifiers like mode of labor, BMI, age, pregnancy induced hypertension, gestational diabetes were controlled by stratification and post-stratification chi-square test was applied. Results: At the time of delivery the mean age of the patients in this study was 26.21±4.47 years. Spontaneous labor occurred in 99 (51.8%) pregnant females. There were 13 (6.8%) females with gestational diabetes and 8 (4.2%) were with pregnancy induced hypertension. There were 6 newborn babies with Apgar score <5 in induced labor group and only 1 baby was born with Apgar score <5 in spontaneous labor group (p-value 0.04). 9 babies in induced labor group were admitted to NICU after birth and 2 babies in spontaneous labor group (P-value 0.02). Conclusion: Adverse fetal outcomes are associated with induction of labor as compared to spontaneous labor. Thereforewe should avoid induction of labor in pregnant ladies without any important indications.

Page(s): 335-337

DOI: DOI not available

Published: Journal: Pakistan Journal of Medical and Health Sciences, Volume: 14, Issue: 1, Year: 2020

Keywords:

Spontaneous labor , Induced labor , Apgar Score

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