Majid Erum, Zuberi Bader Faiyaz, Gul Kanwal, Jam Hira, Haseena Gul
Erum Majid, FCPS Associate Professor Department of Obstetrics/Gynaecology, Jinnah Postgraduate Medical Center (JPMC), Karachi, Pakistan.
Bader Faiyaz Zuberi, FCPS Meritorious Professor, OMI Hospital, Karachi, Pakistan.
Pak J Med Sci. 2024 Sep;40(8):1690-1694. doi: 10.12669/pjms.40.8.9099.
To compare frequency of caesarean section in singleton primary-para women induced at 39 week and its comparison with conventional management. The other objective was comparison of perinatal and neonatal outcomes.
Open random allocation study was conducted at Gynae/Obst Department JPMC during period from 1 June 2022 to 30 September 2023. Primiparous women with singleton pregnancy without risk factors with gestational age 38 weeks 0 days to 38 weeks six days attending the anti-natal clinic offered to participate after consent. Non-probability convenience sampling method was used for induction. Randomization was done using random number table into one of the two groups, Group-A in which induction was done at 39 weeks while in Group-B induction was done conventionally. Mean age ±SD, gestational age and delivery time was calculated and compared by Student's t test. Frequency of CS, perinatal and neonatal outcomes was compared by χ test.
Eighty-two women were inducted in Group-A and eighty-five in Group-B. The mean delivery time in Group-A was significantly more at 8.12±2.77 hours while in Group-B was 7.0±2.62 hours ( = .005). Frequency of CS between two groups was not statistically significant, it was 5 (6.1%) in Group-A and 2 (2.4%) in Group-B ( = 0.412). No significant difference in frequency of NICU admission was seen, in Group-A 8.54% babies were admitted to NICU while in Group-B 16.47% were admitted to NICU ( = 0.122).
No significant difference was observed in frequencies of CS, Foetal, Neonatal, and Maternal outcomes.
比较单胎初产妇在39周引产时剖宫产的发生率，并与传统管理方法进行比较。另一个目的是比较围产期和新生儿结局。
于2022年6月1日至2023年9月30日期间在卡拉奇真纳医学院妇产科进行开放性随机分配研究。孕龄为38周0天至38周6天、无危险因素的单胎初产妇在同意后被邀请参加产前检查。采用非概率方便抽样方法进行引产。使用随机数字表将其随机分为两组，A组在39周时引产，而B组采用传统引产方法。计算平均年龄±标准差、孕龄和分娩时间，并通过学生t检验进行比较。通过χ检验比较剖宫产的发生率、围产期和新生儿结局。
A组有82名妇女引产，B组有85名。A组的平均分娩时间明显更长，为8.12±2.77小时，而B组为7.0±2.62小时（P = 0.005）。两组之间剖宫产的发生率无统计学意义，A组为5例（6.1%），B组为2例（2.4%）（P = 0.412）。新生儿重症监护病房（NICU）收治率无显著差异，A组8.54%的婴儿入住NICU，而B组为16.47%（P = 0.122）。
在剖宫产率、胎儿、新生儿和产妇结局方面未观察到显著差异。
