Failure of Induction Labour in Pregnant Women in Khartoum State
Failure of Induction Labour in Pregnant Women in Khartoum State
No Thumbnail Available
Date
2015-03-26
Authors
Omer , Musa
Journal Title
Journal ISSN
Volume Title
Publisher
UOFK
Abstract
Background: Induction of labour is not without hazards for both mother
and foetus. Failure of induction of labour leads to delivery by emergency
caesarean section with its all complications.
Methods: This prospective study was conducted to find the causes of
failure of induction of labour in Khartoum state in four hospitals
(Omdurman Maternity Hospital, Khartoum Hospital, Khartoum North
Hospital and Police Hospital) in the period from 20.12.2002 to 20.8.2003.
All patients planned for induction of labour data were
collected in a pre-designed questionnaire. We concentrated
on the cases of failed induction of labour, which delivered by
caesarean section.
Results: Three hundred fifty one cases of induction of labour were studied
in the four hospitals out of them one hundred and two cases were
delivered by emergency caesarean section.
Failure rate is 29%.
- The post-term pregnancy was the major indication (44%) for
induction of labour.
- One hundred and two cases were delivered by emergency
caesarean section, due to failure of induction of labour, others
delivered vaginally.
- Failure rate is ( 29% ).
- The post-term pregnancy was the major indication ( 44 % ) for
induction of labour.
- Hypertension and pre- eclapmsia ( 20 % ) .
- Prelabour rupture of membranes ( 19.5 % ) .
- Diabetes Mellitus ( 11.5 % ) .
- Intrauterine growth restriction ( 5 % ) .
The method used for induction of labour was oxytocin combined with
amniotomy in 60 % of cases.
Prostaglandin E2 vaginal pessary was the method used for 30 % of cases.
Artificial Rupture of Membranes alone was the method used in 10 % of
cases.
Conclusion: Failure of induction of labour was mainly due to the unripe
cervix and a previous caesarean section.
Description
56 page
Keywords
labour,Cervical unripness,Primiparity,labour induction