COMPARISON OF FREQUENCY OF CESAREAN SECTION IN ELECTIVE INDUCTION OF LABOUR AT 40 +0 AND 41 +0 WEEKS OF GESTATION

Abstract

Objective: To compare the frequency of cesarean section in elective induction of labour at 40 weeks and 41weeks of gestation.

Study Design: Comparative cross-sectional study.

Place and Duration of Study: Department of Gynecology & Obstetrics, Sialkot, from July to Dec 2017.

Methodology: The pregnant females at full-term were divided in 2 groups. All patients aged 20-35 years and
parity less than 5 with singleton alive pregnancy and vertex presentation at 40+0 weeks gestation were placed
in group A and all singleton alive pregnancies with vertex presentation at 41+0 weeks in group B. Group A was
induced at 40+0 weeks and group B was induced at 41+0 weeks of gestation. Induction of labour was performed and fetal heart rate monitoring was conducted every 15 minutes. Augmentation was completed and frequency of cesarean section recorded in both groups.

Results: In this study a total of 100 patients were included. The mean age of the patients was 27.33 ± 4.87 years
(range 20-35 years) with mean age of 26.54 ± 4.66 and 28.12 ± 4.99 years in group A and group B respectively.
The cesarean section was performed in 20 (20%) patients, with 14 (28%) in group A and 6 (12%) in group B.
Statistically significant difference of cesarean section was noted in both groups (p-value=0.046).

Conclusion: There was a significantly lower rate of cesarean section in elective induction of labour at 41weeks as compared to 40 weeks of gestation.