PREDICTORS FOR SUCCESSFUL LABOUR INDUCTION WITH PGE2 IN PRIMIGRAVIDA

Objective: To identify independent predictors of successful labor inductionWith PGE2 in Primigravidas. Methods: This retrospective study was, conducted at KAASH Hospital, TAIF, KSA. The Medical and Nursing Records of 401 Nulliparous Parturient who received PGE2 Gel for induction of labour conducted at KAASH Hospital from January 2015 to December 2015 were retrospectively reviewed. Data from medical records in the time of the study were collected for four hundred one PG?s who were admitted with documented indications for induction of labour. the administered doses of Prostin including the initial dose and the repeated doses till successful cervical dilatation and effacement and starting of labour process were recorded . The study was performed to Identify factors independently associated with successful labour induction which was defined as vaginal delivery within 24-48 hours either spontaneous or ventouse assisted vaginal delivery. Predictors of Caesarean birth and the need for only one dose of prostin were also identified. Factors included in the study were maternal age, BMI, membrane status, the dose of PGE2, gestational age, birth weight and epidural analgesia. Results.During the study period from January to December 2015. The total number of PG?s whom induced by PGE2 was 401 out of them 270 (67.3%) were NSVD 70 (17.5%) ventouse and 61 (15.2%) LSCS. Conclusion: Characteristics of the woman i.e. BMI, fetal weight and some of the individual components membrane status and gestational age, were having impact on successful/failed labor induction in form of NVD or lower segment caesarean section respectively .