Background In modern obstetrical practice, incidence of induction of labour is on rise for varied maternal and foetal indications. Ultrasound can help obstetricians in counselling patients before induction of labour and explain the probability of successful induction.Objectives To study the role of foetal head-perineum distance in predicting successful vaginal delivery and to correlate with other parameters such as cervical length and Bishop score. Design This study is a prospective case-control study in a tertiary care teaching hospital. Population There were 250 term patients between 37 and 40? weeks with singleton cephalic presentation with no contraindications for vaginal delivery. Methods Prior to induction of labour, transperineal ultrasound was performed to measure foetal head-perineum distance. Simultaneously, cervical length was performed using transvaginal ultrasound probe. Bishop score was determined at the same time by clinical examination. Main Outcome Measures Outcome of induction was considered successful when it resulted in vaginal delivery. It was considered to be a failure if patient did not get into active phase of labour or an operative intervention had to be performed because of non-progress of labour in active
Background: Every year there are 15 million babies who are born too soon. The objective of this study was to analyze the neonatal morbidity and mortality of preterm neonates at birth. Methods: This was a prospective study conducted in the department of obstetrics and gynecology and neonatology. We included all preterm deliveries from 26 weeks to 36 weeks 6 days period of gestation in one year. Neonatal morbidities and mortalities at birth were noted. Results: The rate of preterm birth was 8.49%. Spontaneous preterm labor accounted for 52% of the causes of preterm. Hyperbilirubinemia was the commonest neonatal morbidity affecting 53.2% of the neonates. Respiratory distress syndrome (RDS) and sepsis was highest in neonates of 26 weeks to 28 weeks gestation. This group saw a mortality of 90%. Conclusions: Prematurity is associated with high mortality and long-term morbidity. Low APGARS might be good predictors of neonatal/ infant mortality. In the extremely preterm neonate, it may prove worthy to weigh the risks and benefits and thereafter counsel the mother and concerned relatives accordingly to help with decision making.
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