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International Journal of Clinical Obstetrics and Gynaecology

International Journal of Clinical Obstetrics and Gynaecology

Print ISSN: 2522-6614, Online ISSN: 2522-6622

International Journal of Clinical Obstetrics and Gynaecology

2019, Vol. 3, Issue 2, Part A

Study of the risk factors for cesarean delivery in induced labor at term
Author(s): Seema Gupta, Garima Vyas, Madhu Patni Bhat and Manisha Jain
Abstract:
Introduction: Induction of labor has become one of the most common intervention in obstetrics. Induction of labor is a common and essential element of the contemporary obstetric practice and now account for approximately 20% of all deliveries (NICE 2008). Induction of labor (IOL) is often the principal medical intervention utilized to decrease both maternal and neonatal morbidity and mortality.
Aim: To identify those factors which influence the risk of emergency cesarean delivery in induced labor at term.
Materials and Methods: A total of 100 admitted women with a live singleton live fetus in cephalic presentation and induced at term (≥37 weeks) in labor room of MCSG, SMS Medical college, Jaipur. Cases were women who delivered by emergency cesarean section and controls were women with a vaginal delivery among the cohort.
Observations: The study shows that pregnant women with advanced maternal age (age>35yrs, p value=0.0008), BMI>35kg/m3 (p value=0.0001), poor preinduction BISHOP SCORE (p value=0.0001) and nulliparity (p value=0.0001) was significantly associated with failed induction.
Conclusion: There are several clinical elements that need to be considered to estimate the success of induction and minimize the risk of emergency c/s. factors increasing the likelihood of failed induction were advanced maternal age≥35years, maternal BMI ≥30kg/m2, nulliparity, poor preinduction bishop score<5.
So if induction fails, an emergency caesarean delivery has to be performed, and maternal and fetal morbidity are greater in emergency C/S than those in elective C/S.
Pages: 05-07 | 909 Views | 140 Downloads
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How to cite this article:
Seema Gupta, Garima Vyas, Madhu Patni Bhat, Manisha Jain. Study of the risk factors for cesarean delivery in induced labor at term. Int J Clin Obstet Gynaecol 2019;3(2):05-07. DOI: 10.33545/gynae.2019.v3.i2a.02
International Journal of Clinical Obstetrics and Gynaecology