An Observation of Outcome in Association with Spontaneous Onset of Labor and Induced Labour of Primigravida at Term

Abstract

Introduction: Labour is a usual physiological process considered by progressive rise in frequency, intensity and duration of uterine contractions resulting in effacement and dilatation of the cervix with descent of the fetus over the birth canal. Initiation of labour is defined as iatrogenic stimulation of uterine reductions to cause the delivery of fetus before the onset of spontaneous labour. Aim of the study: To observe the outcome in association with spontaneous onset of labor and induced labour of primigravida at term. Methods: This cross-sectional study was conducted in the Department of Obstetrics and Gynecology in Ashiyan Medical College Hospital, Barua Khilkhet, and Dhaka, Bangladesh during the period from January 2018 to December 2018. Initially, all pregnant mothers at term (410/7 – 416/7 Weeks) were enrolled by purposive sampling. Thereafter, they were scrutinized according to the eligibility criteria. Finally, 80 participants were grouped in each category; namely spontaneous labor group. Thereafter, they were explained regarding the study procedure and informed written consent was charted on the partograph. A structure data sheet was used to obtain socio-demographic profile, obstetric profile, maternal and neonatal outcome profile were recorded using a pre structured, peer reviewed, interview and observation-based data collection sheet. All data were recorded, managed and analyzed using software Statistical Package for Social Science (SPSS) version 20.