Evaluation of Impact of Combinational Approach of Pharmacological and Non-Pharmacological Methods of Labor Induction in Mother Safety
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Abstract
Introduction:
Induction of labor involves a variety of methods, such as pharmacological, non-pharmacological (mechanical), and combination techniques. The possible advantages of combining methods highlight the need for further research to enhance labor induction techniques.
Objective:
The objective of the present study was to evaluate the effects of combining oxytocin with Foley’s catheter and stripping of membrane on the health outcome of the mother.
Methods: This study was an observational clinical study conducted in the Rising Medicare Hospital, Kharadi, Pune, Maharashtra, India between 11th March 2021 to 12th September 2023. Pregnant women were divided into three groups according to the induction techniques used as pharmacological, non-pharmacological, and combined methods of IOL. Data analysis was done using IBM SPSS Statistics version 20.
Results: The present study involved 296 pregnant women who underwent labor induction. The combined methods of IOL showed the highest 66.71 % normal delivery rates and 15.71 % instrumental (vaginal) delivery rates compared to both pharmacological 53.1 % and non-pharmacological 49.0 % with negligible instrumental (vaginal) delivery rates. Combined methods showed very less (1.57 %) chances of C-section (LSCS) rates than both pharmacological (43.35 %) as well as non-pharmacological methods of IOL (49.06 %).
Conclusion: The combined methods showed a 75 % success rate within 12 hours of initiation of the dose of induction of labor and are highly significant for achieving a normal mode of delivery with fewer maternal complications. Further research is needed to optimize these combined methods for improved maternal health outcomes.