Journal of AdvancedMedical and Dental Sciences Research

Background: The present study was conducted to compare maternal and fetal outcomes in patients undergoing induction of labor and spontaneous labor. Materials & Methods: 56 patients of singleton pregnancy with vertex presentation were divided into 2 groups of 28 each. Group I underwent spontaneous progression of labor and patients in group II with induction. Maternal outcomes and fetal outcomes were compared. Results: Age group 18- 22 years had 8 in group I and 9 in group II, 22-27 years had 6 in group I and 7 in group II, 28-32 years had 5 in each group, 32-36 years had 5 in group I and 4 in group II and 37-41 years had 4 in group I and 3 in group II. Mode of delivery was normal in 20 and 16, caesarean in 5 and 10 and instrumental in 3 and 2 in group I and II respectively. Indication of caesarean section was failed induction in 1 and 2, fetal distress in 3 and 6 and prolonged PROM with nil draining liquor in 1 and 2. Complications were perineal laceration in 1 each, maternal sepsis in 1 in group I, PPH in 1 in group I and hysterectomy1 in group I. The difference was significant (P< 0.05). Indications for NICU admission was low birth weight in 2 and 1, birth asphyxia in 1 and 2, respiratory distress syndrome in 2 and 4 and meconium aspiration syndrome in 4 and 6 in group I and II respectively. Causes of neonatal deaths was low birth weight in 0 and 1, birth asphyxia in 1 and 2 and respiratory distress syndrome in 1 and 1 in group I and II respectively. The difference was significant (P< 0.05). Conclusion: Induction of labor is associated with more maternal risk of higher induction delivery interval, more cases of caesarean section due to failure of induction as compared with spontaneous labor.