Induction of Labour Audit At Labasa Hospital – From December 2017 to July 2018

Introduction@#Induction of labour is carried out worldwide for a broad range of maternal and foetal indications, so as to improve pregnancy outcomes. The various methods of induction have different success rates and there is preferential use of the different modes by institutions, regions and countries. Induction of labour in Fiji is only carried out in the three divisional hospitals. This study was carried out to review the induction rate, methods used, indication and the outcomes of induction of labour in Labasa hospital.@*Methods@#A retrospective study of cases of induced labour at Labour ward, Labasa Hospital, Fiji, between December 1, 2017 and July 31, 2018 was carried out. This is also the first study to be done in Labasa Hospital in regards to induction of labour. Data was collated from the maternity and delivery records from the medical records department.@*Results@#Out of the 1436 deliveries recorded in the study period, 131 (9.1%) of patients had induction of labour. The methods of induction used included misoprostol (58.1%), syntocinon (with amniotomy) (13.7%), foleys (3.4%), misoprostol + syntocinon (12%), misoprostol + foleys (3.4%), Foleys + syntocinon (3.4%) and lastly misoprostol + foleys + syntocinon (6%). Postdatism was the commonest indication for labour at 36.8%. Seventy percent of induced parturients had successful induction of labour that led to vaginal deliveries. Misoprostol had the highest success rate at 75%. A little over half of participants, 63 (53.8%) booked in the second trimester and 21 (17.9%) participants booked late.@*Conclusion@#Induction of labour is a safe and effective means of expediting delivery for the benefit of either the mother or the baby. Despite discrepancies in dosages and combination of methods used by different obstetricians, the outcome generally is positive. A larger population study that includes the other two divisional hospitals would give us more feedback on induction of labour.

A Rare Case of Postmenopausal Uterine Inversion

@#Uterine inversion is a rare complication of delivery, and rarer still is a non-puerperal uterine inversion. Anecdotally some gynaecologists do not come across such cases in their whole career. The following case will illustrate a case of uterine inversion and its management undertaken at Labasa Hospital.