Retrospective study on impact of indication for induction of labour on mode of delivery

Background: Induction of labour is a commonly performed obstetric procedure that initiates labour prior to its spontaneous onset.It is advised when the benefits of terminating the pregnancy outweigh the risks of ongoing pregnancy.In India, the incidence of induction of labour ranges from 5% to 22%.Aims and objectives: 1) To study the impact of indication for induction of labour on mode of delivery, 2) To study the degree of maternal, foetal or perinatal morbidity with each of the indication for induction of labour.Materials and methods: Retrospective observational study conducted from July 2021-June 2022 at NRIIMS, Sangivalasa.100case notes of pregnant women who had induction of labour were selected.Results: In the above study of 100 patients 40% had normal vaginal delivery, 38% caesarean section and 22% had operative vaginal delivery.In our study, highest induction rate is with PROM (27% followed by past dates (20%), diabetes (14%), hypertension (10%) and others (29%).The rate of normal vaginal delivery was highest with HTN (50%), polyhydramnios (50%), PROM (40.7%), lowest with diabetes (28%), and IUGR (30%).Of the 100 patients IUGR had highest caesarean rate followed by diabetes (57.14%).Highest NICU admissions are noted with caesarean section and operative vaginal delivery had highest maternal morbidity.Conclusion: Indication for induction of labour was affecting the mode of delivery and also reduces emergency caesarean rates and morbidity associated with it.The outcomes in this study are not statistically significant due to small sample size.Large randomised trials are required to determine the impact of indication for induction of labour on mode of delivery.