INDICATIONS TO INDUCTION OF LABOUR

Introduction: The need of time delivery has been recognized and practiced for centuries. Although the indications have clearly changed during the past 200 years from a need to expel a dead foetus, to pre-emptive action, to reduce the threat, to fetal and maternal health. The main indications can be related to maternal causes, fetal or social or a combination of these. Now our subject of concern in this study is to see the indications for induction of labour in obstetric department in POF hospital, WAH. Objectives: 1) to determine the indications for induction of labour in Obstetric department in POF hospital, WAH. 2) To identify the indications in which induction is most frequently done there. Methods: A cross sectional study was conducted on 150 pregnant women admitted in POF hospital, WAH cantonment of Pakistan. Our sampling technique was purposive sampling and a structured questionnaire was used to obtain information about their socio-demographic details and their indications for induction of labour. Data was analyzed through SPSS 19 version, frequencies and percentages were calculated, tables, graphs, charts were made. Results: Out of 150 pregnant women who undergo induction, 71(47.3%) had oligohydroamnios and 67(44.6%) were having pre-eclampsia and 102(68%) was done due to breech presentation and 137(91.3%) were induced without any indication. Conclusion:  Medical mode for induction of labor is mostly used in most cases. Most of the women with induced labor are ill literate housewives in the age group of 20-30 years, who are multigravidae with previously alive fetal outcomes. Oligohydroamnios, pre-eclampsia, breech presentation and indication less induction forms a major indication for induction of labour.