Failure of labor induction in Tigray region, Ethiopia:  a retrospective record review study

Abstract

Background: Failed induction of labour is defined as when there is failure to generate regular contractions (i.e, every 3 minute) and cervical change after artificial membrane rupture and at least 24 hour of oxytocin use However, the magnitude of failed induction labor in Tigray is not well documented. Therefore, the objective of this study was to assess the magnitude and factors associated with failed induction of labor in the study area. Methods: We conducted institution-based- retrospective record review study of all inductions of labor conducted from April 9, 2017- April 8, 2018(n=380) in Axum St.Mary hospital, Tigray, Ethiopia. Data were entered and analyzed using SPSS version 21 software. The data were cleaned before analysis. Descriptive statistics such as frequency and mean were used to describe the study participants. For the multivariable logistic, binary logistic regression a two tailed p-value <0.05 was performed to show statistical significant. Results: The magnitude of failure of labor induction was found 11.8% (95% CI: 8.7-15.3%). The multivariable binary logistic regression analysis showed that primi-parity (AOR=4.31, 95% CI; 1.22-15.18) and poor Bishop Score (AOR=10.67, 95%CI: 1.31-86.87) were significantly associated with failed induction of labor. Conclusion and recommendation: The failed of labor induction was found high in the study area. The health care providers should assess and document the status of the cervix (using the Bishop score) to determine the probability of success and to select the appropriate method of induction. In addition, they need to consider induction of women with an unfavorable cervix is associated with high failure and a higher caesarean section.

Magnitude Of Birth Outcome After Induced Labor Among Mothers Delivered In Nigist Eleni Mohammed Memorial Comprehensive Specialized Hospital, Hosanna Town, Hadiya Zone, Southern Ethiopia. Cross-Sectional Study

“…This result is greater than study done in Wolaita Sodo university referral hospital which was 6.1%, Aksum referral hospital (2.4%) and study done in Sudan (2.5%), (5,15,35) but the result of this is less than study done in Dessie referral hospital which is 21%, (24). The discrepancy for this result could be the sample size difference, socio demographic condition (70).…”

“…Birth outcome: the life status of the fetus at birth after induction of labor and registered on labor and delivery log book as alive birth or still birth (5,24) Favorable bishop: the bishop score having the value greater than 6.…”

Determinan of Caesarean Section in Primigravidae: Case Control Study 2017-2019

“…Hasil penelitian ini sejalan dengan penelitian sebelumnya yang menunjukkan bahwa induksi persalinan merupakan indikasi persalinan SC dengan persentase bervariatif antara 26,75% hingga 50,5% (Abbasi et al, 2020;Abraha et al, 2020;Lamichhane et al, 2016;Melkie et al, 2021;Tripathy, P., Pati, T., Baby, P., & Mohapatra, 2016.) Induksi persalinan yang dilakukan persalinan SC adalah induksi yang gagal berkembang atau menimbulkan kegawatan, seperti kemajuan persalinan yang buruk, gawat janin, CPD, oligohidramnion, dan air ketuban dengan meconium (Lamichhane et al, 2016;Tripathy, P., Pati, T., Baby, P., & Mohapatra, 2016).…”

“…hal ini dibuktikan oleh penelitian sebelumnya bahwa ibu primi merupakan kelompok tertinggi yang mengalami kegagalan induksi persalinan yaitu sebanyak 54,2% (Salmarini et al, 2016). Peluang kegagalan induksi pada primigravida bervariatif, yaitu 1,9 -4,31 kali daripada multigravida (Abraha et al, 2020;Debele et al, 2021;Melkie et al, 2021).…”

40. Worldviews, values and perspectives towards the future of the livestock sector

“…Furthermore, it was promising to see the recognition of alternative indigenous worldview and value systems, with most survey respondents recognising the importance of traditional, indigenous and local knowledge. There is a wide range of traditional, indigenous and local practices in livestock systems that can help improve environmental and animal health outcomes, for example ethno veterinary medicine, methods to increase carbon sinks, agroforestry/ intercropping with livestock, soil/water conservation, and breed selection (Abraha 2016;Ramos-Castillo and considerations (Bawden, 2006;Page and Witt 2022). The study's finding that less than 10% of participants agreed with this productionist framing is a promising indication of a shift in perspectives towards alternative solutions to sustainability challenges in the livestock sector, and a growing recognition of the negative impacts of the dominant worldview.…”