World Journal of
Pharmaceutical and Life Sciences

RISK OF CESAREAN SECTION AND RESPIRATORY DISTRESS OF NEONATE IN DELIVERY BY INDUCTION IN NULLIPAROUS AFTER 37 WEEKS GESTATION

Rawoa Abdulraheem Hassan and Mohammed Kadhim Jasim

ABSTRACT

Objective of the study: The purpose of this study is to explore does the induction of labour for nulliparous women after 37 weeks gestation increase the risk of cesarean delivery and fetal distress. Material and methods: Retrospective study was conducted, at Fatima AL-ZAHRAA Hospital 232- primiparous women with singleton pregnancy after 37 weeks gestation who delivered in the period of May 2017 and May 2018 The sample was divided into two groups those who were in spontaneous labour (179) and those who underwent induction and either delivered vaginaly or by cesarean section (53) Data were then analysed by the use of SPSS system, The P. value was considered significant if < 0.05 Results: In our study we found that induction of labour at completed thirty-seven weeks or more in nulliparous women resulted in a significantly increased risk for delivery by cesarean section 39.6 % in the induction group versus 5.6 % in the spontaneous labour group on taking the bishop score as an important factor. The rate of cesarean delivery between the induction group with unfavorable cervix was 59.4 % versus 9.1 % in the spontanous labour group and 9.5 % In the induction group with favorable cervix vs 5.4 % in the patient with spontaneous labour and favorable cervix. Generally, the spontaneous labour group had more advanced dilatation and effaccement on admission only (6.1 had bishop score < 6). The indication for the cesarean deliveries differed between the two groups for instance fetal distress was the first indication in the induction group (47.6 %) followed by failure of progress (33.3 %) then failure for induction (19 %). In the spontanous labour group the failure of progress (60 %) then fetal distress (20%) then severe pre - eclampsia (PET), (6,5%). Conclusion: The result of this study showed that induction of labour increased the risk of cesarean section 7 times and fetal distress in nulliparous women with an unvavorable cervix. Spontaneous labour group generally had more advanced dilatation and effacement and as aconsequence a short interval from arrival to delivery.

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