An Observational Research Looking at Variables That Affect the Likelihood of an Emergency Caesarean Birth in Induced Labours at Term
Authors/Creators
- 1. Senior Resident, Department of Obstetrics and Gynaecology, Bhagwan Mahavir Institute of Medical Science, Pawapuri, Nalanda, Bihar, India
- 2. Assistant Professor and HOD, Department of Obstetrics and Gynaecology, Bhagwan Mahavir Institute of Medical Science, Pawapuri, Nalanda, Bihar, India
Description
Abstract
Aim: The aim of this study was to identify those factors which influence the risk of emergency cesarean delivery
in induced labors at term.
Material & Methods: A case–control study was conducted in the Department of Obstetrics and Gynaecology
over a period of one year A total of 350 women were studied, out of which 150 women delivered by emergency
caesarean section and 200 women delivered vaginally. The cohort included all women with a live singleton fetus
in the cephalic position and induced at term (C37 weeks). Cases were women who delivered by emergency
caesarean section and controls were women with a vaginal delivery among the cohort. Informed consent was taken
for all patients.
Results: Using logistic regression analysis, all comparisons are estimated and expressed as OR with 95 % CI.
Factors associated with cesarean delivery were analysed. Our study had shown that maternal age C35 years, BMI
C30 kg/m2, nulliparity, preinduction Bishops score less than 5, gestational diabetes mellitus, and intrauterine
growth restriction are significantly associated with caesarean delivery. The presence of epidural analgesia,
gestational hypertension, postterm pregnancy, and premature rupture of membranes was not associated with
significant increase in cesarean delivery if labor was induced at term.
Conclusion: A vaginal delivery is the best choice for both mother and child. However, it is better to take those
patients with multiple risk factors for elective cesarean section rather than inducing them at term. Women with
multiple risk factors for caesarean can be taken up for elective cesarean section rather than inducing them at term
Abstract (English)
Abstract
Aim: The aim of this study was to identify those factors which influence the risk of emergency cesarean delivery
in induced labors at term.
Material & Methods: A case–control study was conducted in the Department of Obstetrics and Gynaecology
over a period of one year A total of 350 women were studied, out of which 150 women delivered by emergency
caesarean section and 200 women delivered vaginally. The cohort included all women with a live singleton fetus
in the cephalic position and induced at term (C37 weeks). Cases were women who delivered by emergency
caesarean section and controls were women with a vaginal delivery among the cohort. Informed consent was taken
for all patients.
Results: Using logistic regression analysis, all comparisons are estimated and expressed as OR with 95 % CI.
Factors associated with cesarean delivery were analysed. Our study had shown that maternal age C35 years, BMI
C30 kg/m2, nulliparity, preinduction Bishops score less than 5, gestational diabetes mellitus, and intrauterine
growth restriction are significantly associated with caesarean delivery. The presence of epidural analgesia,
gestational hypertension, postterm pregnancy, and premature rupture of membranes was not associated with
significant increase in cesarean delivery if labor was induced at term.
Conclusion: A vaginal delivery is the best choice for both mother and child. However, it is better to take those
patients with multiple risk factors for elective cesarean section rather than inducing them at term. Women with
multiple risk factors for caesarean can be taken up for elective cesarean section rather than inducing them at term
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IJCPR,Vol15,Issue11,Article130.pdf
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Additional details
Dates
- Accepted
-
2023-08-27