failure of induction

failure of induction

Oncology The nonachievement of remission in a Pt in whom it is otherwise expected. See Induction, Remission.
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She had a previous LSCS for failure of induction 3 years back.
The Royal College of Obstetricians and Gynaecologists defines failure of induction of labour as failure after one attempt.
It was also observed that women having failure of induction were 2.
We recommend further multicentre, prospective studies of a larger sample size to have a better understanding of factors leading to failure of induction of labour.
More caesarean sections were performed for failure of induction in induction group in our study as is the case seen in other studies17,18.
Out of the 129 cases of gestational diabetes mellitus, the indication for cesarean section was foetal distress in 39 cases, obstructed labour and cephalopelvic disproportion in 14 cases, antepartum haemorrhage in 5 cases, failure of induction in 8 cases and elective cesarean in 11 cases.
of Deliveries 5400 Patients with DM 129 Table 2: Age wise Distribution Age Frequency <25 10 25-30 63 31-35 36 36-40 20 Table 3: Mode of Delivery Caesarean 77 Vaginal 52 Table 4: Indications of Caesarean Section Foetal Distress 39 Obstructed Labour/Cephalopelvic Disproportion 14 Antepartum Haemorrhage 5 Failure of Induction 8 Elective 11 Table 5: Associated Maternal Complications Pregnancy-induced Hypertension (Gestational Hypertension) 23 Diabetes Ketoacidosis 3 Vaginal Candidiasis 19 Polyhydramnios 17 Oligohydramnios 6 Table 6: Foetal Complications Intrapartum Intrauterine Growth Retardation 17 Macrosomia 8 Neonatal Jaundice 42 Necrotising Enterocolitis 1 Seizures 2 Hypoglycaemia 6 Respiratory Distress 19
When induction of labour is done with an unripe cervix, there is high rate of failure of induction, Arulkumaran.
It is generally predicted that the patients with a poor Bishop's score <3 have unacceptably higher rates of failure of induction.
Patients with a poor Bishops score <3 usually have higher rates of failure of induction (2).
of Deliveries(n = 89) Control Group(n = 29) Indication Number % Fetal distress 7 24 IUGR with oligohydramnios 4 11 PROM with non progress of labour 4 14 Incoordinate uterine action 2 7 CPD 3 10 Failure of Induction 4 14 Elective LSCS 5 20 Study Group(n = 60) Indication Number % Fetal distress 32 53 IUGR with oligohydramnios 18 30 PROM with non progress of labour 3 5 Incoordinate uterine action -- -- CPD -- -- Failure of Induction 3 5 Elective LSCS 4 7 *Using chi-square test [chi square] = 6.
1) Although in the majority of cases there is successful vaginal delivery, in about 20% of cases there is failure of induction necessitating caesarean section.
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