Publication:

A comparative study of spontaneous versus induced labor in primi and multiparous women at tertiary care centre

Background Objectives of the study were to compare progression of spontaneous versus induced labor in primigravida and multigravida women.

Methods Pregnant women admitted in labor room of RNT medical college Udaipur during January 2021 to June 2021 were selected for this study. A total of 200 pregnant women were selected and divided into two groups. Women in group A were induced while in group B were women with spontaneous onset of labour. Labor progression in both was compared.

Results In group A, the mean duration of active phase in primigravida was 4.08+2.30 hr. In group A, the mean duration of the second stage in a primigravida was 25.5+8.15 min and in a multigravida was 17.38+9.95 min. In group B,the mean duration of second stage in a primigravida was 41.3+9.6 min, while in a multigravida was 22.72+6.2h. The mean duration of active phase in group A in the primigravida and multigravida was almost similar, showing that induction does not have any effect on the duration of active phase. The mean duration of the second stage of group A in primigravida was 25 min and multigravida were 17 min showing that induction reduces the duration of the second stage.

Conclusions Induction of labor when done at the right gestational age for correct indication is beneficial to women as it reduces the complications caused due to the continuation of high-risk pregnancies.