RISK FACTORS FOR CAESAREAN DELIVERY IN INDUCED LABOR AT TERM

Abstract

Background: Labor inductions have increased steadily over the past two decades and caesarean delivery in induced labour is seen more over the general caesarean cases. This study was designed to assess the factors which are associated with greater risk of cesarean delivery when induced at term. Methodology: This prospective observational study was carried out at department of Obstetrics and Gynecology in our hospital between March 2018- December 2020 in 120 pregnant women. Induction of labor by cervical ripening with Prostaglandin E2 gel ( 0.5 mg in 3ml) instilled intracervically followed by reassessment after 6 hours. If progress was not satisfactory, repeat gel induction was done after 24 hours, maximum of 3 doses of Prostaglandin E2 gels were used. Results:The cesarean delivery rate in the study was 39% which was greater than the general cesarean rate. Patients with poor Bishop score, obesity, gestational diabetes, IUGR and cholestasis were at high risk for emergency cesarean section. Conclusion: It can be concluded that a number of factors are implicated in increased cesarean rate after induction of labor. Unnecessary cesarean sections should therefore be avoided.