Labour Induction with Either Oxytocin or Dinoprostone Gel in Term Pregnancy and Its Obstetric Outcome- A Prospective Comparative Study

Abstract

Introduction: Child birth is such a central event in family life and culture that a good obstetric care cannot be out of tune with the attitudes and expectation of parturient women. In every country women see child birth as an experience, achievement and respect. In the traditional cultures of the developing world, successful vaginal delivery brings women marital security, family status and esteem in her community.

Aims:     To assess the feto-maternal outcomes in labour induced either with oxytocin or dinoprostone gel. To compare the feto-maternal outcomes in labour induced with oxytocin versus dinoprostone gel.

Materials and Methods: The present study was a Randomised Prospective comparative study. The study was conducted in the department of Obstetrics and Gynaecology, Midnapore Medical College and Hospital, West Bengal from March 2020 to February 2021.

Result: Majority mothers delivered vaginally and findings were not statistically significant between the groups (84.3% versus 77.3%), p value= 0.29.  5.3% mothers underwent cesarean section in group A and 18.7% in group B. The difference between two groups was significant, p value 0.02 with oxytocin group undergoing more cesarean section.

Conclusion: Vaginal delivery is considered to be the success of obstetrics. Many pregnant women requiring induction of labour come with unfavorable cervix. Achieving vaginal delivery through pre-induction cervical ripening is an obstetric challenge. There are various methods which have their own merits and demerits. The most commonly used are oxytocin and prostaglandin PGE2 Dinoprostone gel (under the name of cerviprime).