Please wait a minute...
Clinical and Experimental Obstetrics & Gynecology  2018, Vol. 45 Issue (3): 379-382    DOI: 10.12891/ceog3986.2018
Original Research Previous articles | Next articles
The rate of induction of labor, methods, and outcome in primigravidae and multigravidae
H.S.O. Abduljabbar1, *(), H. G. Mohmed1, A. K. Agabawi1, N. Al Sahafi1, A. M. Oraif1
1 Department of Obstetrics & Gynecology, Medical College, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia
Download:  PDF
Export:  BibTeX | EndNote (RIS)      
Abstract  
The aim was to review of cases of induction of labor and to identify rate, methods, and outcome in primigravidae and multigravidae. Materials and Methods: This was a retrospective study of medical charts review of cases of induction of labor-managed at King Abdulaziz University Hospital. During the study period 2,583 delivered and 150 cases had induction of labor. Patients details, clinical presentations, diagnosis, gestational age, method of induction, and mode of delivery identified, and outcomes were recorded. Results: During the study period 2,583 delivered in this institution and a total number of cases admitted for induction were 151 cases. The rate of induction was 5.8%. The range of age 19 to 46 years with a mean of 29.9 ± 5.87 years. The range of gravidity was 1 to 14 with a mean of 2.9 ± 2.14. The range of gestational age was 27 to 43 weeks with a mean of 39.3 ± 2.72 weeks. Only 15.2% had cesarean section and 88.8% of multigravidae and of 77.4% primigravidae had vaginal delivery. Vaginal dinoprostone was given in 69.5% and oral misoprostol in 30.5%. In 26.63% of cases oxytocin was added. Bishop score were less than 3 in all cases. Age, gestational age, and duration was statistically significant in primigravidae vs. multigravida with a p value < 0.05. The mode of delivery here was statistically different between the two group with a p value < 0.035. The admitting diagnosis for induction of labor in 28.5% of cases were postdated, 19.9% were GDM or 11.9% hypertensive patients, and only 6.6% were PROM. The others were only 17 cases, induced due to chronic medical illness. No statistically significant difference in fetal weight was seen with a p value < 0.966, and with an Apgar score at five minutes or NICU admission or maternal complications. Apgar score at one minute was less than 7 in primigravidae more than multigravidae, with a p value < 0.017, as well as the number of patents who had episiotomy with a p value < 0.001. Conclusion: Induction of labor is beneficial and safe, even with low Bishop score less than 3; the rate of failure and outcome are similar in both primigravidae and multigravidae.
Key words:  Induction      Labor      Primigravida      Multigravida     
Published:  10 June 2018     
*Corresponding Author(s):  H.S.O. ABDULJABBAR     E-mail:  profaj17@yahoo.com

Cite this article: 

H.S.O. Abduljabbar, H. G. Mohmed, A. K. Agabawi, N. Al Sahafi, A. M. Oraif. The rate of induction of labor, methods, and outcome in primigravidae and multigravidae. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(3): 379-382.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog3986.2018     OR     https://ceog.imrpress.com/EN/Y2018/V45/I3/379

[1] Neža Sofija Pristov, Ela Rednak, Ksenija Geršak, Andreja Trojner Bregar, Miha Lučovnik. Changes in uterine electromyography according to cervical dilatation in the first stage of labor[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(4): 883-887.
[2] Aizura Syafinaz Ahmad Adlan, Vikneswaran Virasamy, Doris Ng Sin-Wen, Noor Azmi Mat Adenan. 8 am versus 8 pm labour induction with dinoprostone vaginal tablets in term pregnancies with unfavourable cervices—a randomised controlled trial[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(3): 523-527.
[3] Hidayet Sal, Emine Seda Guvendag Guven, Suleyman Guven. The relationship between fetal thymus volume and preterm birth in dichorionic diamniotic pregnancies[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(3): 528-533.
[4] Batool Ali H. Alkhazal, Majed Abdullah Halawani, Ibtihal Omar Alsahabi, Hassan S.O. Abduljabbar. The preferred mode of delivery among primigravida Middle Eastern Women. A questionnaire based study[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(3): 567-571.
[5] Faris Mujezinović, Veronika Anzeljc, Monika Sobočan, Iztok Takač. Do women in Slovenia prefer vaginal birth after prior caesarean and what hinders its successful outcome? A single institution retrospective analysis[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(3): 607-614.
[6] Veronika Anzeljc, Faris Mujezinović. Caesarean sections and outcomes of labor induction after the introduction of a new intravaginal device: retrospective analysis[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(3): 615-627.
[7] Ugo Indraccolo, Maria Giulia Lombana Marino, Beatrice Bianchi, Silvia Catagini, Danila Morano, Pantaleo Greco. Symphysis-fundal height correlates with adverse delivery and neonatal outcomes in induced full-term and premature pregnancies[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(3): 637-641.
[8] Jakub Mlodawski, Marta Mlodawska, Justyna Armanska. Dinoprostone vaginal insert vs the Foley catheter in labor induction. Observational study[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(3): 665-669.
[9] Hyun Jin Ko, Seong Yeon Hong, Jin Young Bae. Pregnancy and neonatal outcomes of hyperglycemia caused by atosiban administration during pregnancy[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(2): 257-262.
[10] Kumari Anukriti, Kiran Guleria, Vipin Tyagi, Amita Suneja, B D Banerjee. Maternal blood and amnionic oxytocin receptor gene expression and serum oxytocin levels in preterm birth: a case-control study[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(2): 283-291.
[11] R. Duraker, E.S. Guvendag Guven, S. Dilbaz, A. Mentese, S. Aydın, S. Guven. Oxidative stress status in severe OHSS patients who underwent long agonist protocol intracytoplasmic sperm injection cycles[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(2): 312-316.
[12] Kaori Kawakami, Yuria Tanaka, Yuji Ikeda, Atsushi Komatsu, Osamu Kobayashi, Takahiro Nakajima, Takehiro Nakao, Chiaki Takeya, Mikiko Asai-Sato, Fumihisa Chishima, Misako Iwata, Kei Kawana. Is routine X-ray pelvimetry of value to decide on mode of delivery for women with labor dystocia?[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(2): 317-322.
[13] Narges Momenyan, Ali Asghar Safaei, Sedighe Hantoushzadeh. Immersive virtual reality analgesia in un-medicated laboring women (during stage 1 and 2): a randomized controlled trial[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(1): 110-116.
[14] I.F. Urunsak, U.K. Gulec, E. Eser, M. Sucu, C. Akcabay, S. Buyukkurt. The role of dinoprostone for labor induction in postterm and high-risk term pregnancies[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(5): 664-668.
[15] N. Al-Husban, A. Hababeh, M. Al-Kasasbeh, R. Odeh, M. Shaheen, D. Moughrabi, D. Zabalawi. Thyroid stimulating hormone (TSH) level variations in early pregnancy and feto-maternal outcome; retrospective study[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(5): 675-680.
No Suggested Reading articles found!