INDUCTION OF LABOR AND ITS FETOMATERNAL OUTCOME

Induction of labor is opted for benefits of expeditious delivery to outweigh the risks of continuing the pregnancy. Aims and Objectives: To study the indications and methods of induction of labor & to correlate Feto-Maternal outcome. Materials & Methods: The present study was conducted on 150 pregnant women. It is a prospective observational study, conducted from April 2021 to September 2021. Patient details with Indication, examination, pre-induction Modified Bishops score, Partogram, were noted of 150 pregnant women and the results were analyzed. Electronic fetal heart rate monitoring was done in all except Intra-uterine Fetal Demise (IUFD) cases. Methods used were Dinoprostone, misoprostol, mechanical dilatation using foleys catheter single or in combination with each other. SPSS version 23.0 was used for statistical analysis, statistical significance was set as p<0.05. Result: Common indications for induction were Past-dated pregnancy, followed by Gestational- Hypertensive disorders, Oligoamnios, Pre-labor rupture of membranes respectively. Among the 150 mothers, 113(75.3%) delivered vaginally and 37(24.6%) underwent LSCS. Dinoprostone gel was the dominant method used. Mechanical dilatation with Dinoprostone for induction of labor had a better outcome and less rate of failed induction. 4 mothers in this study were diagnosed with IUFD and induced with Mechanical Dilatation followed by Dinoprostone, all delivered vaginally. NICU admissions were required in 21.7%, 25%, 22% of the mothers who were induced with Dinoprostone, Misoprostol and Mechanical Dilatation respectively. Conclusion: Most common indication for induction is Past dated pregnancy. Most common method used is Dinoprostone alone. Perinatal Morbidity was more with Misoprostol. No maternal and Perinatal mortality.