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Reason for LSCS Reason for LSCS Group I (n=48) Group II (n=23) Foetal distress 11 (22.91%) 11 (47.82%) Failure of induction 14 (29.16%) 0 (0%) Maternal request 11 (22.91% 1 (4.34%) Non decent of foetal head 6 (12.50%) 7 (30.43%) Non progress of labour 6 (12.50%) 1 (4.34) Persistent occipitoposterior 0 (00%) 3 (13.04%) position Total 48 (100%) 23 (100%) Table 7.
In our study we have compared the complications in misoprostol induced mid trimester abortions including blood loss, pain severity and failure of induction in patients having scared uterus as compared to unscared uterus.
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 2.5 times more at odds of having macrosomic babies (3.8%) than patients with successful inductions (1.5%).
* Partial Failure of Induction: Partial failure will be considered if women require any other means of augmentation for delivery.
More caesarean sections were performed for failure of induction in induction group in our study as is the case seen in other studies17,18.
She had a previous LSCS for failure of induction 3 years back.
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.
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. It was also shown that a low Bishop's score is associated with increased rates of cesarean sections, maternal fever and fetal asphyxia.
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] = 6.769 p = < 0.05 Result: Significant Table 4: Distribution of APGAR < 7 APGAR < 7 Study Group(n = 90) Control Group(n = 90) Number % Number % 1 min.
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