Successful Induction of Labour at 40+ and 41+ Weeks in Primigravida Women

Induction of Labour in Primigravida Women

Abstract

Background: Induction initiates labour before it starts naturally, often used between 40–41 weeks in complicated pregnancies to reduce risks. Objective: The aim of the study to find the frequency of successful induction of labour at 40+ and 41+ weeks in primigravida and to compare the frequency of successful induction at these gestational ages. Study Design: descriptive cross-sectional study. Settings: Obstetrics & Gynecology Department of MTI-LRH, Peshawar Pakistan. Duration: July 2022 to January 2023. Methods: 120 primigravida women who were 40+ and 41+ weeks along in their gestation were included in the study. The data was analyzed using SPSS version 16. Results: In this study, the primigravida women who were at 40+ and 41+ weeks were measured for the results of induction of labour. 40 weeks (SD ±1.0) was the average gestational age, while the average mother age was 33.5 years (SD ±4.5). 18.33 percent had caesarean section births, while vaginal birth accounted for 81.66 percent; of the deliveries within 48 hours of attempted induction, the rate was a 66.66 percent; the outcomes among those induced were better at 40+ compared to 41+. Conclusion: Inducing labour at 40+ and 41+ weeks is a safe and effective way to reduce caesarean sections and improve newborn outcomes. The prevalence of vaginal deliveries was higher at 40+ weeks than at 41+ weeks, highlighting the need of good patient selection and close monitoring during labour induction.