Delivery Outcome Among Induced Versus Spontaneous Labor In Nulliparous Women

Abstract

Objective: To assess the delivery outcome in nulliparous women at term and to compare the outcomes among induced versus spontaneous labor.

Methods: A descriptive study was conducted at Obstetrics and Gynecology department of Patel Hospital, Karachi from April to October 2019. All women with age between 20-40 years, gestational age between 37-42 weeks, and singleton pregnancy were consecutively included. Mode of delivery and Apgar score at 5 minutes were noted.

Results: Of 172 women, the mean age of the women was 29.9±4.64. Vaginal delivery was reported in 102 (59.3%) and cesarean section in 70 (40.7%) women. Cesarean delivery was found to be significantly higher among women with >29 years of age (pvalue 0.006), >38 weeks of gestational age (p-value <0.001), obesity (p-value <0.001), and induction of labor (p-value 0.020). Mean APGAR score at 1 min was 7.45 ±0.69 and APGAR score at 5min was 8.84 ±0.41. Mean APGAR score at 5 minutes was significantly higher in women vaginal delivery than that of women with cesarean delivery (p-value 0.034).

Conclusion: The frequency of vaginal delivery was found higher in nulliparous women presenting at term. Moreover, APGAR score at 5 minutes was found to be significantly different in both groups.