SPONTANEOUS VS INDUCED LABOUR OUTCOMES IN A PRIMIGRAVIDA

Abstract

BACKGROUND : The recent advances in induction of labour has lead to decreased spontaneous labour and as a result increased complications. Thus a study is done to identify the progress of labour and fetomaternal outcomes in spontaneous versus induced labour patients as childbirth experience especially in primigravida have a major influence in family planning and subsequent pregnancies.
AIM: To study the difference in progress, course and outcome between spontaneous and induced labours in a primigravida.
MATERIALS AND METHODS: This is a prospective study undertaken on 100 Primigravidae of term gestation and uncomplicated pregnancy admitted in the labour room were studied and divided into 2 groups, those with induction of labor and those with spontaneous onset of labor. May 2022 to June 2023 was the time period in consideration.
RESULTS: Among the study population , childbirth experience was poor in those with induced labour. The mean duration of second stage of labour was significantly more in induced labour (16.25 minutes) than in spontaneous
labour (14.60 minutes)The caesarean section rates were higher in induced  labour(33%) than in sponatenous labour(11%). The mean Apgar scores were comparable in two groups.
CONCLUSION : The study shows that it is beneficial to wait for spontaneous onset of labor in a primigravida with no maternal or fetal complications since induction of labor is associated with higher caesarean rates, tears,prolonged labour,poor childbirth experience. It is essential to counsel the mother about the type of delivery.