MODE OF DELIVERY AND FETAL OUTCOME IN PATIENTS WITH PROLONGED PREGNANCY UNDERGOING ELECTIVE INDUCTION AT 41 & 41+ WEEKS

Objective: To determine mode of delivery and fetal outcome in patients with prolonged pregnancy undergoing elective induction at 41 & 41+ weeks. Methodology: This study was carried out on 150 patients at Department of Obstetrics and Gynecology, Unit “A” Postgraduate Medical Institute Lady Reading Hospital Peshawar. All singleton uncomplicated pregnancies with vertex presentation at 41 weeks and above admitted at ward were included in the study. Exclusion criteria were strictly followed. Gestational age was calculated by last menstrual period (LMP) or from first trimester scan. All women with 41 and 41+ week’s gestation were offered induction. All the information including neonatal notes was recorded. Results: Among 150 patients 135 (90%) were induced with tablet prostaglandin E2 and 15 (10%) were induced with prostaglandin E2 gel. Among 150 patients 76 (51%) patient were primigravida, 61 (40%) patient were multigravida and 13 (9%) patient were grand multigravida. 114 (76%) patients had spontaneous vaginal delivery, 14 (9%) patients had vacuum vaginal delivery and 22 (15%) patients had caesarean section. 134 (89%) babies had APGAR Score >7 and 16 (11%) babies had score <7. 13 (9%) babies had birth weight <3kg, 125 (83%) had 3-3.9kg, 10 (7%) had 4-4.4kg and 2 (1%) had more than 4.5kg. Only 3 (2%) babies were admitted to NICU. Conclusion: It can be stated that most of patients undergoing induction of labour at 41 weeks and 41+ weeks gestation delivered by normal vaginal delivery had good fetal outcome.