Özet:

Background: Labor is defined as the progressive dilation of uterine cervix in association with repetitive uterine contractions. Induction of labor may be described as the process of stimulating the uterus to start labor. It refers to iatrogenic stimulation of uterine contractions to achieve delivery prior to onset of spontaneous labor or on failure of natural labor. It is generally planned when the risks of continuing the pregnancy are considered greater than the risks associated with planned birth. Objectives: The current study was conducted to evaluate the risk of cesarean section in 50 pregnant women on induction of labor.Methodology: The study included 50 women with singleton live pregnancies between 37 – 41 weeks with cephalic fetal position. Women with the history of multiple pregnancies, malformations in the uterine cavity, previous cesarean section, placentapervia were excluded from the study.Induction was started early morning by administration of tab misoprostol 50 mcg every 6 hours for a maximum of four doses in 24 hours. The progress of labor was evaluated by assessing uterine contractions every 30 minutes, monitoring the fetal heart rate by the CTG device. Cesarean delivery was performed in cases of fetal distress or failure to progress in labor. The readings were recorded in master chart, and the data analysis was carried out statistically.Results: 50 pregnant women with singleton live pregnancies between 37 – 41 weeks with cephalic fetal position were included in the study. All patients were between 22-40 years of age group. Gestational ages of fetus were between 37.1 to 41 weeks. 17 out of 50 underwent cesarean delivery, whereas 33 underwent vaginal delivery. Out of these 17 women, 2 had gestational hypertension, 2 present with premature rupture of membrane, 1 had post dated pregnancy, 7 had a non reassuring fetal heart rate, 4 had symptoms of preeclampsia and 1 had gestational diabetes. Out of 33 women with vaginal delivery, 3 had gestational hypertension, 8 present with premature rupture of membrane, 16 had post dated pregnancy, 1 had a non reassuring fetal heart rate, 3 had gestational diabetes and 2 had chronic hypertension.Conclusion: Our study clearly indicates that induction of labor doesn’t necessarily increase the chances of cesarean section as most of the subjects in our study underwent vaginal delivery. Our results imply that induced labor at full term is acceptable, even if it is only for the convenience of the obstetrician or the pregnant woman.

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