Elective Induction of Labor at 39 Weeks among Nulliparous Women at Mansoura University Hospital | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 138, Volume 93, Issue 1, October 2023, Page 7820-7824 PDF (404.54 K) | ||||
| DOI: 10.21608/ejhm.2023.331760 | ||||
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| Abstract | ||||
| Background: When there are greater hazards to the mother and fetus from continuing the pregnancy than from having an accelerated delivery, induction of labor (IOL) is advised. Induction of labor without a medical indication is known as elective induction of labour (eIOL). Objective: This study aimed to assess the impact of eIOL at 39 weeks gestation in nulliparous women on mother and neonatal outcomes compared with expectant management (EM). Patients and Methods: This prospective study was carried on 120 nulliparous women who were at 39 weeks gestation. The study population were distributed randomly into 2 groups with 60 participants in each: Group A comprised 60 pregnant women who underwent eIOL at 39 weeks gestational age and group B who underwent EM and acted as control group. Results: Incidence of Cesarean section (CS) was higher among group B than in group A. Group B was shown to have a higher incidence of perineal tears than group A. Both groups demonstrated comparable outcomes as regards postpartum hemorrhage (PPH) and need for blood transfusion. There was no statistically significant difference between the two groups regarding fetal problems. Group A exhibited a higher mean APGAR score compared to group B, and group A required fewer visits to the newborn intensive care unit (NICU) than group B. Conclusion: eIOL at 39 weeks led to fewer population hazards than EM. In particular, eIOL at 39 weeks gestation that was related to lower rates of CS, maternal morbidity, stillbirths, and newborn mortality, as well as decreased rates of neonatal morbidity. | ||||
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