Abstract

: Labor induction is a procedure that is done artificially for initiation of the uterine contractions that cause the progressive effacement and dilatation of the cervix, causing the vaginal delivery. To carry out the labor induction, there should be a clear indication. The induction of labor is a challenge to fetuses, subjects, and obstetricians. Aim: The present study aimed to assess the causes of labor induction and associated neonatal outcomes in Indian females. Methods: The study assessed 752 subjects who underwent delivery at the institute, with 87 subjects where induction of labor was done. The method of induction of labor used in study subjects were sweeping of the membrane, oral mifepristone, only Dinoprostone gel, Dinoprostone gel, and Foley's catheter. The data gathered were analyzed statistically. Results: The induction of labor in the study was done in 11.5% (n=87) subjects, with the majority of subjects aged 20-29 years with 83.90% (n=73) subjects. 43.67% (n=38) of subjects were primigravida, with the majority of study subjects in the gestational age of 37-40 weeks. Most of the subjects were induced for PROM and postdatism, with 28.7% (n=25) and 34.48% (n=30) subjects, respectively. The mean induction delivery time was 10-20 hours, with 82.75% (n=72) of subjects undergoing vaginal delivery. NICU was required by 14.9% (n=13) of study subjects. Conclusion: The study concludes that induction of labor is beneficial and safe in high-risk pregnancies, with PROM and postdatism being the common indications for induction of labor and holding good perinatal outcomes. However, proper monitoring was needed to avoid potential complications.

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