Induction of labor in full-term pregnancy at Angré university hospital center : maternal-fetal prognosis in 102 cases

Abstract

Objective: report the experience of the Angré University Hospital maternity ward in the practice of labor induction. Methods: This was a prospective cohort study with a descriptive aim carried out at the Angré University Hospital Center from January 1 to December 31, 2023. Results: of the 4399 deliveries that took place in our department during our study period, 102 were
induced, i.e. a frequency of 2.3% of deliveries. The main indications were premature rupture of membranes (42.2%), overdue term (31.4%) and arterial hypertension (26.4%). The methods used were misoprostol (68.6%) in intravaginal tablet, oxytocin (19.6%) in intravenous infusion and dinoprostone (11.8%) in intracervical gel. The failure rate was 6.9%. Indications for cesarean section were perinatal asphyxia/altered FHR (42.8%), stationary dilatation (28.6%), and cervical dystocia (28.6%). 3 cases of maternal complications were observed, represented by 2 cases of delivery hemorrhage and 1 soft tissue tear. At birth, 95.1% of newborns had a satisfactory Apgar score (= 7) at 5 minutes. After birth, 5 newborns were referred to the neonatology department for respiratory distress resulting from neonatal asphyxia. Conclusion: The indications were dominated by premature rupture of membranes, overdue and high blood pressure. The maternal-fetal prognosis was good, hence the importance of respecting the conditions
for induction of labor.