Clinical and Ultrasound Parameters to Predict the Risk of Cesarean Delivery After Induction of Labor

Abstract

II-2.

Prospective evaluation of clinical and ultrasonic feto-maternal parameters as predictors of caesarean delivery after induction of labour

“…The frequency of induction of labour and intrapartum/emergency caesarean delivery has increased has increased over the last two decades and is found to be associated with higher risk of fetal and maternal morbidity 1,2 . Antenatal detection of women likely to end up in failed IOL and consequent emergency caesarean section is essential for their appropriate management and pre-induction counselling.…”

“…The frequency of induction of labour has increased over the last two decades and now accounts for up to 20% [1][2] . Among these, 20% end up with emergency caesarean delivery 2 .…”

“…Among these, 20% end up with emergency caesarean delivery 2 . Labour induction was started in view of benefits of delivery to the mother or fetus outweighing the potential risks of continuing the pregnancy 1 . However, the consequences of labour induction should always be considered carefully.…”

“…However, the consequences of labour induction should always be considered carefully. For the mother, these include the possibility of failed labour induction leading to caesarean delivery (the risk is approximately increased two fold compared with spontaneous labour) and for the fetus, iatrogenic prematurity 1 .…”

“…Many clinical parameters like maternal age, parity, height, maternal body mass index (BMI), amniotic fluid index (AFI) have been shown to influence the success of IOL 1,2,3,4,5,6 .…”