STUDY TO KNOW INDICATIONS OF LABOUR INDUCTION OUTCOME AND ITS SHORTFALLS, AUDIT AT NISHTER HOSPITAL, MULTAN

Objective: The purpose of the supervision is to ensure that the operation and indications of the induction of labor in our hospital are briefly observed and that the process meets certain standards to make changes to ensure that the induction is only when it is time to be relieved. This will help to improve our local standard for induction of labor and therefore patient care. Study design: A retrospective audit. Location and duration: Nishter Hospital Multan, Department of Obstetrics and Gynecology, March 2016 to March 2017. Methodology: The study was conducted at the Nishter Hospital, Multan to observe the indications, the outcome of the induction of the process and birth, and see if it fits the NICE guideline for labor induction. All patients with a single pregnancy at 34 weeks of gestation were included in the trial. Induction, method and delivery induction (IOL) results were evaluated and evaluated in all patients. Findings: The overall rate of induction in our hospital was 42%. The success rate of job induction was 78%. The main indications for caesarean section were fetal distress and delivery induction failed. Both factors were evaluated in detail. Regarding the failure of the workforce, induction of labor for post-cesarean dates was 40 weeks or more, but 41 weeks before. Similarly, patients with prepartum rupture (RPM) in the absence of chorioamnionitis were induced at 6 hours instead of 24 hours. Range induction has not been considered as an alternative option. Conclusion: the recommendations are based on this essay and it is recommended that they be reviewed again in the near future to see the implementation of the recommendations. Key words: Induction of labor force, fetal distress, induction of labor