Obstetric Outcome and Significance of Labour Induction in a Health Resource Poor Setting

Table 2

Methods and indications for induction (𝑁=1510).

Variables	𝑛	Percentage (%)
Method
Misoprostol	1181	78.2
Foleys catheter	25	1.7
Foleys catheter and amniotomy/oxytocin	138	9.1
Amniotomy/oxytocin	106	7.0
Membrane sweep	12	0.8
Membrane sweep and amniotomy/oxytocin	48	3.2
Main indications
Postdate	691	45.8
Term PROM	482	31.9
IUFD	187	12.4
Pre eclampsia	71	4.7
Preterm PROM	56	3.7
Eclampsia	11	0.7
IUGR	6	0.4
Gestational DM	6	0.4

As a departmental protocol, induction for postdate is undertaken at 41 weeks + ³days (40 weeks + ¹⁰ days) in uncomplicated pregnancies.
Diagnostic criteria for preeclampsia: hypertension in the second half
of pregnancy (≥20 weeks gestation) with blood pressure ≥140/90 mmHg taken on two occasions at least 6 hours apart in the presence of significant proteinuria (>300 mg of protein in a 24-hour urine collection or ≥2+ of protein on dip stick).
Diagnostic criteria for gestational diabetes: based on fasting blood sugar of ≥7.0 mmol/L (≥126 mg/dL) and 2-hour postprandial of ≥11.1 mmol/L (≥200 mg/dL).
IUGR: Intrauterine growth restriction.
PROM: Premature rupture of membranes.
DM: Diabetes mellitus.