Abstract :
The aim of the study is to determine whether induction of labor in nulliparous women is associated with changes in fetomaternal outcome when compared to labor of spontaneous onset. This randomized case control study included nulliparous women with induced and spontaneous labor in Al-Batool Teaching Hospital from 1 of February to 1" of August 2004.Intrauterine death, deliveries outside the hospital, and preterm deliveries were excluded. Patients with induced and spontaneous labor were compared with respect to demographic characteristics. time span of labor, route of delivery, and neonatal outcome. A 249 women included in the study. 144 women had labor induced and 150 women with spontaneous onset of l or. Time span of labor and analgesic requirement were significantly more common in induced labor. cesarean delivery was statistically significant higher in induced labor 36(25%) versus 11 (7%) in spontaneous labor (p. value<0.05). No significant difference in instrument delivery while babies born after induced labor admitted more to NICU (44% versus 19%) and the difference was statistically significant (p. value <0.05). When compared with labor of spontaneous onset, Labor induction in nulliparous women was associated with statically significant more; prolonged labors, operative deliveries, and babies need admission to neonatal care unit.
