Maternal and Fetal Outcome in Emergency Caesarean Section after Failed Induced Labour

Naamat Abeid; Nuriya B.  Enessr; Hala  Elmadany

doi:10.54361/

Authors

Naamat Abeid Obstetrics and Gynecology Department, Aljala Maternity Hospital, Faculty of Medicine, University of Tripoli, Tripoli, Libya Author
Nuriya B. Enessr Obstetrics and Gynecology Department, Al Zawiya hospital, Faculty of Medicine, Al Zawiya University, Zawiya, Libya Abstract: Author
Hala Elmadany Obstetrics and Gynecology Department, Aljala Maternity Hospital, Faculty of Medicine, University of Tripoli, Tripoli, Libya Author

DOI:

https://doi.org/10.54361/

Abstract

Background: Failed induction of labour is one of the most important indications for cesarean section and it appears to have contributed to the current trends in caesarean rates. The aim of this study is to identify the pregnancy outcome in patients who had emergency caesarean section after failed induced labour Materials and Methods: Retrospective descriptive case series study. It was conducted in Tripoli Medical Centre (TMC) Tripoli/Libya during the year 2011. Sixty-one pregnant women were randomly selected; all the cases underwent emergency caesarean section after failed induction. Result:A total of 61 patients were included in the study. The mean age of the patients was 30.4 ± 5.7. The majority of the patients in this study were multigravidous (82%), multiparous (75.5%) and had no previous abortion (67.5%). The mean gestational age was 38.32 ± 2 weeks. With regards the causes of failure of induction and the prompt need for emergency cesarean section, the current study showed that the most frequent cause was fetal distress with a frequency of 39.5%, the second cause was failure in progress of labor 16.4% followed by obstructed labor with a frequency of 14.7% as well as meconium leaking with the same frequency 14.7%. The majority of the neonates had normal birth weight (75.6%). The males were 46% and the females were 54%. Babies who kept with their mothers were 32.7%, while babies who delivered admitted to the nursery were 67.3%. Conclusion: In conclusion, there are many maternal and fetal factors that associated with failed induction and the prompt need for emergency cesarean section which include; maternal age, multigravidity, multiparity, term pregnancy and nursery admission. The most frequent indications for emergency cesarean section after failed induction was due to fetal distress followed by failure of progress of labour then obstructed laour and meconium leaking.

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