Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Fetomaternal Outcome in Postdated Primigravida Delivered at Bankura Sammilani Medical College by Induction of Labour with Intracervical Dinoprostone Gel: A Descriptive Study
Aditi Aich, Debjani Deb, Ivy Sai and Swagata Chattaraj
Page: 127-131 | Received 20 Nov 2023, Published online: 06 Jan 2024
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Abstract
A pregnancy that produces a healthy child and a mother who has the least amount of trauma is the aim of obstetrics. Preventing cesarean delivery and all of its risks is a delicate balance that is at the heart of competent obstetric care. The typical definition of labor is the periodic contraction and relaxation of the uterine muscles along with the cervix’s progressive dilatation and effacement, which result in the expulsion of the resulting reproductive products. The fetus transitions from the intrauterine to the extrauterine environment during labor. The typical progression of cervical ripening precedes the commencement of myometrial contractions. Fetomaternal Outcome in Postdated Primigravida Delivered at Bankura Sammilani Medical College by Induction of Labour with Intracervical Dinoprostone Gel. A Descriptive Study. It was a descriptive observational study this study was the study was conducted in a large tertiary care maternity centre with a time frame of 18 months from the acceptance of synopsis at the Department of Obstetrics and Gynaecology, BSMCH, Bankura. It was seen that most of the postdated primigravida mothers 80 (66.67%) have got 2 times application of Intracervical Dinoprostone gel whereas only 40 (33.33%) postdated primigravida mothers have got 1 times. This study reflected that most of the postdated primigravida mother’s i.e. 69 (57.5%) post‐ induction bishop score was within 2‐5, whereas only 1(0.83%) postdated primigravida mother’s post‐induction bishop score was not obtained due to LUCS. The mean bishop score of post induction was higher than pre induction bishop score, with Standard Deviation 0.54 and 1.41, which was found to be statistically significant relationship as evident from “r” value (0.293) at df 118 at 0.05 level of significance and p><0.001. Maximum postdated primigravida mother 119 (99.17%) have delivered baby with >7 Apgar score within 1 min whereas only 1 (0.83%) mother have delivered a baby with <7 Apgar score within 1 min. So the fetal outcome was satisfactory. We conclude that goes beyond 40 weeks should be considered as high risk. So, proper management should be done to decrease the rate of perinatal morbidity and mortality. The emotional impact as well as peripartum complications of a mother should also be taken into consideration while allowing a pregnancy to prolong. So, a policy should be made to intervene in pregnancy at an optimum gestational period so that a proper balance could be made between the risk of induction and that of ongoing pregnancy.
How to cite this article:
Aditi Aich, Debjani Deb, Ivy Sai and Swagata Chattaraj. Fetomaternal Outcome in Postdated Primigravida Delivered at Bankura Sammilani Medical College
by Induction of Labour with Intracervical Dinoprostone Gel: A Descriptive Study.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.4.127.131
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.4.127.131