Abstract

To study indications and methods of induction in primigravida with pastdates; To study the risk of operative delivery in induced labor in primigravida with pastdates. Methods:100 Primiporous women between >41 weeks of gestation with live singleton fetus in cephalic presentation in whom labor was induced were included in the study group after considering the inclusion and exclusion criteria. Delivery and outcome were analysed and compared with women who went into labor spontaneously. The rate of cesarean delivery in both groups was compared. Results: In the present study, method of induction was by using Dinoprost gel, Misoprostol, Oxytocin with or without artificial rupture of membranes out of 100 cases 64% had LSCS and 4% had outlet forceps and 32% had vaginal delivery and whereas out of 100 spontaneous group 12% had LSCS and 2% had outlet forceps and 86% had vaginal delivery. The risk of LSCS is significantly higher in cases than in controls as p < 0.001. Conclusion: In primigravida with induction of labor isassociated with significantly increased risk of cesarean delivery, maternal morbidity and neonatal morbidity

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