Abstract
Introduction: Induction of labour (IOL) is a relatively common procedure in the present obstetrics practice. Decision is made by obstetricians when the extra uterine life is more favourable for the baby than intrauterine environment. However there is evidence that IOL may adversely affect both maternal and perinatal health. Methods: A group of 75 mothers who underwent IOL was compared with an age-matched sample of same number of mothers who underwent spontaneous onset of labour (SOL) at term at Teaching Hospital Mahamodara. Data were collected from bed head tickets. Main maternal and perinatal outcomes were compared using chi-square and t-tests. Results: There were no statistically significant differences in the basic demographic characteristics of the two groups. Mothers with IOL had significantly high rates of caesarean section (p=0.011) and prolonged hospital stay (p Conclusions: Mothers who underwent elective IOL at term had increased rate of cesarean section and prolonged hospital stay when compared to mothers who had SOL. The two groups were comparable with regards to adverse perinatal and maternal outcomes.
Highlights
Induction of labour (IOL) is a relatively common procedure in the present obstetrics practice
There was significantly higher rate of cesarean section in the IOL group compared with the spontaneous onset of labour (SOL) group (Table 2)
The rate of caesarian section in the IOL group was almost double compared to the SOL group
Summary
Induction of labour (IOL) is a relatively common procedure in the present obstetrics practice. Induction of labour (IOL) is a process of commencing labour artificially by uterine stimulation. This is carried out if the wellbeing or life of mother or child is threatened by continuance of the pregnancy (1). This procedure is relatively common in modern obstetric practice and is on rising trend. Rate of elective IOL varies worldwide being 6% to 20% of pregnancies in developed countries like United Kingdom (2). In modern concept of active management of labour, IOL is an essential component.
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