Abstract: The goal of induction of labour is to achieve a successful vaginal delivery that is as natural as possible. The typical rates in India are about 10 to 11% are reported from tertiary medical centers. This incidence has increased over the past few decades and has raised the concern that it translates into an increased caesarean delivery rate.
Material and Method: This was a prospective observational study on induction of labour which included 105 participants under the care of 5 consulting units over period of 12 months.
Objective:
1.To study the comprehensive profile of labour induction.
2.To study the factors providing better success of induction of labour
Results: The factors which were considered important for prediction of successful vaginal delivery were maternal age, gestational age, bishops score. Induction of low-risk patients with gestational age of 39 to 40 weeks was effective achieving majority of vaginal delivery including instrumental delivery. In our study all the cases were with poor bishops score (<5), but significant difference was proved between bishops score for FTND, instrumental delivery and LSCS (p<0.001). Preinduction AFI was also found to be predictor of IOL
The cases which ended up as failed induction, majority of them were with oral misoprostol as it was associated with poor bishops score (1 and 2). As cervical ripening was not achieved and, in some cases, fetal distress was present, oxytocin augmentation was not done in majority of cases.
Conclusion
- Careful assessment of the patients should be done to determine bishop score, gestational age, amniotic fluid index.
- Careful evaluation with individuating each case with giving adequate time to deliver with close intrapartum monitoring is needed.
- All the obstetric unit must audit the cases of failed induction and further attempts should be made for evaluating it for its shortcoming.
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