The study of local injection of hyaluronidase on cervical dilation in labour-An observational study

Abstract

Background: Assessment of the cervical state by palpation has long been the main method of predicting induction of labour and following progress of induced labour, this method gives an approximate measure of the biophysical state of the cervix. Aim & Objective: The present study is undertaken to reduce the time taken for the cervical dilation after 3-4 cms to delivery and to evaluate the effect of hyaluronidase on the labour curve of friedmann in primi gravid. Results: In the present study100 cases were selected, over a period of one year fifty cases were served as hyalase group and fifty as control. In both groups primis and multis were equally sequelae which affect the mother. That the mean injection delivery time in Hyalase group for primigravida and for multigravida are 2 hrs 10 mints and 1 st hour 14 mint. Whereas in control group it is 5 hrs 20 mint and 3 hrs 10 mints. It is seen that it is possible to shorten this duration of labour with intracervical Hyalase. Overall study showed that there is a reduction in the duration of labour after injection of intracervical Hyalase at 3 & 4 cms of cervical dilation and when compared to control group had better APGAR score. Conclusion: Finally we concluded that, injecting Hyaluronidase intracervical at 3-4 cms. Labour is accelerated by 3.30 mints in primis 2.04 mints in multigravida. It was found safe are economical also.