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Analysis Study Research Paper | Gynaecology | India | Volume 13 Issue 12, December 2024 | Popularity: 5 / 10

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An Observational Study by Measurement of Fetal Adrenal Gland Volume in Prediction of Success of Labor Induction

Dr. Rupal Gandhi, Dr. Kamlesh Yadav, Dr. Akanksha

Abstract: Background: Labor induction is a common obstetric intervention aimed at initiating or augmenting uterine contractions to achieve vaginal delivery when continuation of pregnancy poses risks to the mother or fetus. Identifying reliable predictors of successful labor induction is crucial for optimizing maternal and fetal outcomes and minimizing the need for cesarean deliveries. This observational study aims to contribute to the existing literature by evaluating the utility of fetal adrenal gland volume as a predictor of the success of labor induction. Methods: This prospective clinical study, women included 100 pregnant women who were admitted at Sardar Patel Medical College, Bikaner, Rajasthan. Data was collected on detailed history including name, age, education, occupation and socioeconomic status, menstrual and obstetric history, any significant personal or past medical / surgical history. A transabdominal USG was performed to note gestational age and fetal adrenal gland volume. Results: The study shows that out of 100 cases, 48% underwent a Cesarean section (LSCS) and 52% had a vaginal delivery. For those with a fetal adrenal gland volume between 0-1 cc, all 6 cases had LSCS. In the 1-2 cc range, 28% had LSCS while 9% had vaginal deliveries. For volumes between 2-3 cc, 10% had LSCS and 29% had vaginal deliveries. Among those with a volume greater than 3 cc, 1% had LSCS and 17% had vaginal deliveries. Conclusion: The study concludes that fetal adrenal gland volume is a significant predictor of the success of labor induction. Specifically, larger adrenal gland volumes (>2 cc) are associated with a higher likelihood of vaginal delivery, whereas smaller volumes (0-2 cc) are strongly correlated with cesarean sections (LSCS). This suggests that measuring fetal adrenal gland volume can be a valuable tool in anticipating delivery outcomes and guiding clinical decision-making during labor induction.

Keywords: Labor induction, fetal adrenal gland volume, Gestational age, baby outcome

Edition: Volume 13 Issue 12, December 2024

Pages: 1480 - 1482

DOI: https://www.doi.org/10.21275/SR241202004301

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