MODE OF DELIVERY AND FETAL OUTCOME IN PATIENTS WITH PROLONGED PREGNANCY UNDERGOING ELECTIVE INDUCTION AT 41 & 41+ WEEKS
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Published:
Jan 3, 2016
Keywords:
Prolonged pregnancy, Induction of labour, Fetal outcome
Main Article Content
Abstract
Objective: To determine mode of delivery and fetal outcome in patients with
prolonged pregnancy undergoing elective induction at 41 & 41+ weeks.
Methodology: This study was carried out on 150 patients at Department
of Obstetrics and Gynecology, Unit "A" Postgraduate Medical Institute Lady
Reading Hospital Peshawar. All singleton uncomplicated pregnancies with
vertex presentation at 41 weeks and above admitted at ward were included
in the study. Exclusion criteria were strictly followed. Gestational age was cal -culated by last menstrual period (LMP) or from first trimester scan. All women
with 41 and 41+ week's gestation were offered induction. All the information
including neonatal notes was recorded.
Results: Among 150 patients 135 (90%) were induced with tablet prostaglan -din E
2and 15 (10%) were induced with prostaglandin E2 gel. Among 150 pa -tients 76 (51%) patient were primigravida, 61 (40%) patient were multigravida
and 13 (9%) patient were grand multigravida. 114 (76%) patients had sponta-neous vaginal delivery, 14 (9%) patients had vacuum vaginal delivery and 22 (15%) patients had caesarean section. 134 (89%) babies had APGAR Score >7
and 16 (11%) babies had score <7. 13 (9%) babies had birth weight <3kg, 125
(83%) had 3-3.9kg, 10 (7%) had 4-4.4kg and 2 (1%) had more than 4.5kg. Only
3 (2%) babies were admitted to NICU.
Conclusion: It can be stated that most of patients undergoing induction of
labour at 41 weeks and 41+ weeks gestation delivered by normal vaginal de -livery had good fetal outcome.
prolonged pregnancy undergoing elective induction at 41 & 41+ weeks.
Methodology: This study was carried out on 150 patients at Department
of Obstetrics and Gynecology, Unit "A" Postgraduate Medical Institute Lady
Reading Hospital Peshawar. All singleton uncomplicated pregnancies with
vertex presentation at 41 weeks and above admitted at ward were included
in the study. Exclusion criteria were strictly followed. Gestational age was cal -culated by last menstrual period (LMP) or from first trimester scan. All women
with 41 and 41+ week's gestation were offered induction. All the information
including neonatal notes was recorded.
Results: Among 150 patients 135 (90%) were induced with tablet prostaglan -din E
2and 15 (10%) were induced with prostaglandin E2 gel. Among 150 pa -tients 76 (51%) patient were primigravida, 61 (40%) patient were multigravida
and 13 (9%) patient were grand multigravida. 114 (76%) patients had sponta-neous vaginal delivery, 14 (9%) patients had vacuum vaginal delivery and 22 (15%) patients had caesarean section. 134 (89%) babies had APGAR Score >7
and 16 (11%) babies had score <7. 13 (9%) babies had birth weight <3kg, 125
(83%) had 3-3.9kg, 10 (7%) had 4-4.4kg and 2 (1%) had more than 4.5kg. Only
3 (2%) babies were admitted to NICU.
Conclusion: It can be stated that most of patients undergoing induction of
labour at 41 weeks and 41+ weeks gestation delivered by normal vaginal de -livery had good fetal outcome.
Article Details
How to Cite
1.
Arif A, Khan NR, Zeb L. MODE OF DELIVERY AND FETAL OUTCOME IN PATIENTS WITH PROLONGED PREGNANCY UNDERGOING ELECTIVE INDUCTION AT 41 & 41+ WEEKS. J Postgrad Med Inst [Internet]. 2016 Jan. 3 [cited 2024 Apr. 23];29(4). Available from: https://jpmi.org.pk/index.php/jpmi/article/view/1696
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