Elective Induction versus Expectant Management of Mild Pre-Eclampsia at Term.

Abstract

To determine maternal and neonatal outcome in planned induction of labor versus expectant management in mild pre-eclampsia at term. Quasi-experimental study. Department of Gynecology and Obstetrics, Sir Ganga Ram Hospital, Lahore, from July to December 2016. After taking informed consent, 200 females fulfilling the inclusion criteria were included in the study. Sample was equally divided into two groups. In Group A (induction) depending upon the Bishop score, labor was induced with prostaglandins or amniotomy. In Group B (Expectant), expectant management was followed with feto-maternal monitoring. Maternal monitoring was done with blood pressure recording and laboratory tests while fetal monitoring was done by keeping maternal fetal kick count record, recording CTG and biophysical profile. Student t-test was used to analyze numerical data and Chi-square for qualitative data. A p-value of <0.05 was taken as statistically significant. There were more maternal complications in expectant management group as compared to induction group, while neonatal outcomes were comparable in both groups. In mild pre-eclampsia, induction of labor at term is beneficial for mother, but there is no difference in neonatal outcome in the two modes of management.