INDUCTION OF LABOUR

COMPARISON OF EFFICACY OF DIFFERENT METHODS

Abstract

Objectives: For selecting the topic was to compare the efficacy of different methods of induction of labour. Design: Prospective observational study. Setting: Department of Obstetrics and Gynaecology Unit 11, Ghurki Trust Teaching Hospital Lahore. Period: One year, From 1st Jan 2004 to 31st Dec 2004. Subjects and methods. This study included pregnant ladies, irrespective of parity who were selected for induction of labour for different indications, after 28 weeks of gestation. Patients having abnormal presentation such as breech and patients with suspected cephalopelvic
disproportion were not included. Induction method was selected according to parity, indication for induction and Bishop scoring. Results. Total no of patients admitted in the said ward during the study period was 3500, 205 were induced with different methods. This gives prevalence of induction of labour in the study group as 5.86%. Age of the patients ranged from 17-45 years/with parity varying from 0-8. Five patients with previous caesarean section were also induced. Conclusion. The most common indication for induction of labour was pregnancy induced hypertension. Success rate of method used depends on Bishop scoring, PGE2 helps in cervical ripening and gives good results in patients with poor Bishop score.