Abstract:
To compare the outcome of pregnancy beyond 40 weeks gestation as regards induction of
labour versus spontaneous onset of labour. A prospective observational study carried out in
antenatal wards and labour rooms of Tertiary care station (Castle street hospital for women
and North Colombo Teaching Hospital). Two hundred and eighteen uncomplicated
singleton pregnancies beyond 40 weeks of gestation were studied in spontaneous onset of
labour group (n=115, 52.8 percent ) and induction of labour (n=103, 42,2 percent) group.
The obstetric outcome, intrapartum complications, neonatal outcome, postpartum
complications and hospital stay were analyzed in each group. Induction of labour is
associated with increased incidence of intrapartum complications, oxytocic use, analgesic
use ,m operative delivery and hospital stay , Postpartum complications and neonatal
outcome were similar in both SOL and IOL groups