Induced Labour in Women with Scarred Uterus in Developing Country: Analysis of 118 Cases at Lagune Mother-Child University Hospital (HOMEL) in Cotonou, Benin

Abstract

Objectives: Cesarean section rates are still high in referral hospitals in Benin. One of the Cesarean main indications is uterine scar to avoid the risk of uterus rupture. The objective of this study was to evaluate the outcomes of inducing labor on uterine scar in Cotonou. Patients and Methods: This was a prospective study conducted at Lagune Mother-Child University Hospital (HOMEL) in Cotonou, Benin Republic from 1 January 2009 to 31 December 2013. The population of study was pregnant women with scarred uterus, selected after calculation of oxytocin perfusion score. Results: The frequency of inducing labour on scarred uterus in our sample was 0.49%. Vaginal birthing rate was 93.54. Apgar score was greater than 7 in the first minute in 95.69% of cases. A case of neonatal death as a result of neonatal infection was recorded. Maternal complications included hemorrhages (3 cases), dehiscence of the scar (1 case), and no case of maternal death. Conclusion: Induction of labor on scarred uterus is possible in underdeveloped countries, with a success rate similar to that of developed countries under good medical supervision.