Planned Induction of Labour Versus Planned Caesarean Delivery in Women with Severe Pre-eclampsia at Term-a Randomized Controlled Trial.

BACKGROUND

The aim of this study is to investigate whether planned caesarean delivery compared to planned induction of labour in women with severe pre-eclampsia at gestational age of more than 37 weeks of pregnancy will reduce maternal morbidity and/or perinatal morbidity.

METHOD

This randomized controlled study was conducted from April 2021 to March 2022 at Department of Obstetrics and Gynecology of Midnapore Medical College, West Bengal. Data were analysed with respect to socio demographic status, clinical presentation, complications and their management.

RESULT

One hundred and seventy-six women with severe pre-eclampsia were screened for eligibility, and 140 were included in the study. In 58.6% patients, the induction was successful. Type of delivery was successful in vaginal 37 (90.2%) and instrumental (ventouse and forceps) in four (19.8%) of the cases. In induction group, the most common reason for LSCS was MSL with foetal bradycardia. Foetal distress was seen in 22.90% of induction group, while absent in LSCS group.

CONCLUSION

In our study, we found that there was no differences in the primary maternal outcome and the secondary maternal outcome between the two groups. The primary neonatal outcome was significantly poor in induction group, whereas good in LSCS group. So LSCS is better option in patients with severe pre-eclampsia at term. Key words-Severe Pre-eclampsia, Induction of labour.