Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
The induction of labor is a common obstetric intervention that can sometimes result in emergency cesarean sections (ECS). Understanding the factors influencing the likelihood of ECS during term labor induction is crucial for optimizing maternal and neonatal outcomes. The aim of the study was to evaluate the demographic and obstetric factors associated with emergency cesarean delivery among women undergoing term labor induction in a tertiary care institution. This retrospective cohort study included 150 pregnant women who underwent labor induction at >37 weeks of gestation at the Department of Gynecology and Obstetrics. We analyzed demographic information (age, BMI), obstetric history (parity, previous cesarean deliveries), indications for induction, methods of labor induction and delivery outcomes. Statistical analyses included univariate and multivariate logistic regression to identify factors associated with ECS. Older maternal age, higher BMI and a history of previous cesarean deliveries were significantly associated with ECS. The most common indications for ECS were fetal distress and failure to progress. Women undergoing ECS had longer durations of labor and were more likely to experience adverse neonatal outcomes, such as low Apgar scores and NICU admissions, as well as maternal complications including postpartum hemorrhage and infections. Multivariate analysis revealed that higher BMI and previous cesarean deliveries were independent predictors of ECS. Several demographic and obstetric factors, including higher BMI and a history of cesarean deliveries, are associated with an increased risk of ECS among women undergoing term labor induction. These findings underscore the importance of careful patient selection and monitoring during labor induction. Targeted interventions to address modifiable risk factors may reduce the need for ECS and improve outcomes.
How to cite this article:
Sinduri Chennapatni, Ch. Padma and Kankipati Sireesh. Evaluation of Factors Influencing Emergency Cesarean Delivery during Term Labor Induction: An
Institutional Study.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.5.220.224
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.5.220.224