Failed induction of labor and associated factors in Adama Hospital Medical College, Oromia Regional State, Ethiopia

Demssie, Enku Afework; Deybasso, Haji Aman; Tulu, Tewodros Mengistu; Abebe, Dawit; Kure, Mohammed Abdurke; Roba, Kedir Teji

doi:10.1177/20503121221081009

Cited by 4 publications

(3 citation statements)

References 33 publications

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“…Successful IOL was achieved in 70.3% of the study participants. This finding is in line with previous studies conducted in Adama Hospital, Ethiopia (70.4) [ 22 ], Congo (70.1%) [ 23 ], and Ogoja (75.9%), Nigeria [ 24 ].…”

Section: Discussionsupporting

confidence: 93%

Outcomes and Associated Factors of Induction of Labor in East Gojjam Zone, Northwest Ethiopia: A Multicenter Cross-Sectional Study

Assemie,

Mihiret,

Mekonnen

et al. 2023

Obstetrics and Gynecology International

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Background. Induction of labor is the initiation of uterine contractions by artificial methods once the fetus has reached viability and prior to spontaneous onset of labor with the aim of achieving vaginal delivery. Although induction of labor is a critical life-saving intervention that potentially reduces adverse pregnancy outcomes, sometimes it has undesirable consequences for the health of the mother and/or the fetus. Hence, this study aimed to evaluate the outcomes and associated factors of labor induction. Methods. An institution-based cross-sectional study was conducted from February 25 to May 25, 2020, among women undergoing induction at East Gojjam zone public hospitals in northwest Ethiopia. A structured interviewer-administered questionnaire was used to collect data from a sample of 411 mothers who were selected using a systematic random sampling technique. Stata/se™ Version 14 statistical software was used to analyze the data. Multivariable binary logistic regression was used to determine the potential factors affecting successful labor induction. Adjusted odds ratios with their 95% CI intervals were used to declare the strength of the association, and a variable with p value <0.05 was considered to have statistical significance. Results. The prevalence of successful induction of labor was 70.3% (65.6, 74.7). The favorable Bishop score ((CI 3.90, 1.63–9.29); p value = 0.002), the intermediate Bishop score ((CI 3.53, 2.15–5.82); p value = 0.001), labor induction using oxytocin with cervical ripening ((CI 2.60, 1.21–5.63); p value = 0.015), and urban residence ((CI 0.48, 0.30–0.78); p value = 0.003) were associated with successful induction of labor. Conclusion. These findings strongly suggest that cervical conditions are important determinants for the success of labor induction. Therefore, healthcare providers should confirm the favorability of the cervical status (using Bishop score) as a strict prerequisite before actual labor induction, and special consideration should be given to those pregnant women who reside in urban areas.

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Section: Discussionsupporting

confidence: 93%

Outcomes and Associated Factors of Induction of Labor in East Gojjam Zone, Northwest Ethiopia: A Multicenter Cross-Sectional Study

Assemie,

Mihiret,

Mekonnen

et al. 2023

Obstetrics and Gynecology International

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“…To our excellent knowledge, the publication about the efficacy of dinoprostone vaginal insert in cervical ripening in the term pregnancy with oligohydramnios has remained limited. Especially, influencing factors relative to successful cervical ripening (SCR) have been differently described from this study to another study 15–18 . Thus, we conducted this study to evaluate the effectiveness, safety, and success rate of dinoprostone 10 mg controlled‐release vaginal insert as well as finding some factors attributable to SCR at our center.…”

Section: Introductionmentioning

confidence: 93%

“…Especially, influencing factors relative to successful cervical ripening (SCR) have been differently described from this study to another study. [15][16][17][18] Thus, we conducted this study to evaluate the effectiveness, safety, and success rate of dinoprostone 10 mg controlled-release vaginal insert as well as finding some factors attributable to SCR at our center.…”

Section: Introductionmentioning

confidence: 99%

Using dinoprostone slow release vaginal insert for cervical ripening in term‐pregnancy with oligohydramnios

Nguyen

Vuong

Nguyen

et al. 2023

J of Obstet and Gynaecol

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The study purposed to evaluate the success rate of cervical ripening using dinoprostone controlled-release vaginal insert and reveal some factors relating to successful cervical ripening. Methods: This cross-sectional study was conducted at Tu Du Hospital in Vietnam from December 2021 to August 2022. The study enrolled 200 pregnant women with gestational age ≥37 weeks diagnosed with oligohydramnios. These candidates underwent dinoprostone cervical ripening (DCR) according to the local protocol. The Bishop score ≥7 after 24 h was determined for the successful cervical ripening (SCR). Results: In total, the success rate of DCR achieved at 57.5% and the cesarean delivery rate was 46.5%. None of the severe side-effects and complications was present. Using multivariable logistic regression, the study found that the body mass index ≥25 kg/m 2 and oxytocin infusion drip related to SCR with adjusted odds ratio (aOR): 3.67 (95% confidence intervals [CI]: 1.78-7.57) and aOR: 4.68 (95% CI: 1.84-11.93), p < 0.001. Using the Kaplan-Meier curve, the present study revealed a significant difference between Bishop <3 and ≥3 following the duration time of cervical ripening, with hazard ratio: 1.38 (95% CI: 1.19-1.59), p < 0.001. The time duration of cervical ripening was not significantly different following amniotic fluid index from 3 to 5 cm. Conclusions: Cervical ripening using a dinoprostone vaginal insert is a potentially acceptable method in term pregnancy accompanying with oligohydramnios. The probability of SCR can be predicted on a careful assessment of relative factors by obstetricians. Further studies are required to strengthen these findings.

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Using Dinoprostone Slow Release Vaginal Insert for Induction of Labor in Term-Pregnancy with Oligohydramnios: a prospective study from Vietnam

Nguyen¹,

Le²,

Vuong³

et al. 2022

Preprint

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Background: Oligohydramnios is one of the most common cause results in poor outcomes and induction of labor (IOL) remains an appropriately intervetional procedure for reducing the fetal mortality in term pregnancy. The primary purpose to evaluate the successful rate and materno-fetal adverse events by IOL using dinoprostone. The secondary purpose was to reveal some factors relating to successful IOL. Methods: This prospective study was conducted at T.D. Hospital from December 2021 to August 2022. The study enrolled 200 pregnant women of gestational age ≥ 37 weeks with oligohydramnios who underwent IOL by using dinoprostone. The Bishop score after 24 hours of IOL ≥ 7 is determined for evaluating the successful IOL. Results: The successful rate of IOL by dinoprostone was achieved at 57.5% and cesarean delivery rate was 46.5%. None of the severe side-effects and complications was present. Using multivariable logistic regression, the study found that BMI ≥ 25 kg/m2 and oxytocin augmentation related to success IOL with aOR: 3.67 (95% CI: 1.78-7.57) and aOR:4.68 (95% CI: 1.84-11.93), p < 0.001. Using the Kaplan-Meier curve, the present study revealed a significant difference between Bishop < 3 and ≥ 3 following the duration time of IOL, with HR: 1.38 (95% CI: 1.19-1.59), p < 0.001. The duration time of IOL was not significantly different following AFI from 3 to 5 cm. Conclusions: IOL by Dinoprostone is an acceptable procedure in term-pregnnacy accompanying with oligohydramnios. Predicting the success of IOL relating to some clinical factors can be evaluated by obstetricians.

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Failed induction of labor and associated factors in Adama Hospital Medical College, Oromia Regional State, Ethiopia

Cited by 4 publications

References 33 publications

Outcomes and Associated Factors of Induction of Labor in East Gojjam Zone, Northwest Ethiopia: A Multicenter Cross-Sectional Study

Outcomes and Associated Factors of Induction of Labor in East Gojjam Zone, Northwest Ethiopia: A Multicenter Cross-Sectional Study

Using dinoprostone slow release vaginal insert for cervical ripening in term‐pregnancy with oligohydramnios

Using Dinoprostone Slow Release Vaginal Insert for Induction of Labor in Term-Pregnancy with Oligohydramnios: a prospective study from Vietnam

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