Induction of labour at a regional hospital in KwaZulu-Natal, South Africa

South African Journal of Obstetrics and Gynaecology

J Moodley¹  B Malende¹  S R Kambaran¹ 

[1] Department of Obstetrics and Gynaecology, Lower Umfolozi District War Memorial Hospital, Empangeni, KwaZulu-Natal, South Africa, and Women’s Health and HIV Research Group, University of KwaZulu-Natal, Durban, South Africa

关键词: Pregnancy;    Induction of labour;    Maternal and fetal outcomes;    Rural hospital;   

DOI  :  10.7196/sajog.675

学科分类：农业科学（综合）

来源: South African Medical Association

【 摘 要 】

Background.Clinicians working in maternity units must recognise the risks associated with induction of labour (IOL. They need to analyse the indications for IOL, methods used and outcomes on a regular basis to reduce complications. Objective.To determine the indications for IOL and outcomes of current methods at a regional hospital in rural KwaZulu-Natal, South Africa. Methods.Clinical data for all patients who had IOL over an 8-month period were collected and analysed. Results.There were 6 649 deliveries, and of these patients 532 had IOL (induction rate 8.0%); 502 patient files had complete information for analysis. The main indications for IOL were hypertensive disorders (43.6%,n =219), post-dates pregnancy (25.9%,n =130) and pre-labour rupture of the membranes (14.7%,n =74). Other indications accounted for 15.7% of cases ( n =79). The most common methods of IOL were oral misoprostol (63.5%,n =319) and vaginal misoprostol (30.3%,n =152). Vaginal deliveries were achieved in 59.8% of patients ( n =300), and 40.2% (202) had caesarean sections (CSs); 69.7% of patients ( n =350) delivered within 24 hours (this includes CSs and vaginal deliveries). Normal vaginal births within 24 hours accounted for 44.4% of total deliveries ( n =223), and CSs within 24 hours for 24.3% ( n =122). There were 34 babies (6.8%) admitted to the neonatal intensive care unit. Prematurity accounted for 10 of these admissions (2.0% of all babies), hypoxic ischaemic encephalopathy for 9 (1.8%), and congenital pneumonia for 7 (1.4%). There was 1 early neonatal death. Conclusion.Current methods of IOL at the rural study site are associated with outcomes similar to those in a report from an urban regional hospital in South Africa.

【 授权许可】

CC BY