RATE OF EMERGENCY LOWER SEGMENT CAESAREAN SECTION AFTER INDUCTION OF LABOUR IN PATIENTS WITH OLIGOHYDRAMNIOS AT TERM

Authors

  • Faryal Naseer PAF Hospital Mushaf, Sargodha
  • Moizza Aziz PAF Hospital Islamabad
  • Saema Teseen PAF Hospital Faisal, Karachi
  • Naila Mahboob PAF Hospital Islamabad
  • Najia Riffat PAC Hospital Kamra
  • Shagufta Yaqoob PAC Hospital Kamra

DOI:

https://doi.org/10.55519/JAMC-S4-14602

Keywords:

Oligohydramnios, Term pregnancy, Induction of labor, Emergency lower segment cesarean section, Maternal outcomes, Fetal distress.

Abstract

Background: Term oligohydramnios represents a high-risk obstetric condition linked to adverse maternal and fetal outcomes. Induction of labor in these cases is frequently associated with increased clinical challenges and a higher incidence of emergency lower segment cesarean sections (LSCS). Evaluating the frequency and underlying causes of such outcomes is essential to inform and improve clinical decision-making. Objective was to determine the rate of emergency LSCS following labor induction in term pregnancies complicated by oligohydramnios and to identify associated contributing factors. Methods: This cross-sectional study was conducted at Mayo Hospital, Lahore, over a 12-month period from September to August 2024. Fifty term pregnant women diagnosed with oligohydramnios who underwent labor induction were enrolled. Data were collected on maternal demographics, induction techniques, labor progression, and emergency LSCS outcomes. Statistical analysis included both descriptive and inferential methods. Results: Emergency LSCS was required in 56% of cases, primarily due to failed induction or intrapartum complications. The predominant indications were non-reassuring fetal heart patterns (45%), failure to progress in labor (35%), and maternal exhaustion (20%). A significantly higher rate of emergency LSCS was observed among women with severe oligohydramnios (amniotic fluid index <5 cm) compared to those with mild to moderate levels (p<0.05). Variations in LSCS rates were also associated with maternal age, parity, and the method of labor induction. Conclusion: The study demonstrated a notably high incidence of emergency LSCS in term pregnancies with oligohydramnios following labor induction. The leading contributors were non-reassuring fetal status and labor dystocia. These findings highlight the need for individualized induction strategies and vigilant intrapartum monitoring to enhance maternal and neonatal outcomes.

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Published

2024-12-16

How to Cite

1.
Naseer F, Aziz M, Teseen S, Mahboob N, Riffat N, Yaqoob S. RATE OF EMERGENCY LOWER SEGMENT CAESAREAN SECTION AFTER INDUCTION OF LABOUR IN PATIENTS WITH OLIGOHYDRAMNIOS AT TERM. J Ayub Med Coll Abbottabad [Internet]. 2024 Dec. 16 [cited 2025 Jul. 17];36(4 (Suppl 1). Available from: https://jamc.ayubmed.edu.pk/index.php/jamc/article/view/14602

Issue

Vol. 36 No. 4 (Suppl 1) (2024): JOURNAL OF AYUB MEDICAL COLLEGE ABBOTTABAD

Section

ORIGINAL ARTICLE

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Copyright (c) 2024 Faryal Naseer, Moizza Aziz, Saema Teseen, Naila Mahboob, Shagufta Yaqoob

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