Success of labour induction institution based cross-sectional study Wolaita Sodo, South Ethiopia

Bekru, Eyasu Tamru; Yirdaw, Bezalem Eshetu

doi:10.5897/ijnm2018.0303

Cited by 9 publications

(11 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Thus, the likelihood of failed IOL was more than three times higher among mothers who had unfavorable cervical status compared to their counterparts. This finding is in line with previous literature’s report from Woliata Soda teaching hospital, Ethiopia, 22 France, 37 and Le Scotte Siena Hospital of Italy. 17 It is also supported by another study conducted in Addis Ababa Army referral Hospital, 38 in which a higher proportion of failed induction was observed in mothers with lower Bishop scores.…”

Section: Discussionsupporting

confidence: 93%

“…In this study, the overall magnitude of failed IOL among women who underwent IOL in AHMC was found to be 29.6%, and the most common indication for labor induction was PROM (46.4%). This current proportion of IOL is nearly comparable to previous research reports like 26.5% in Wolaita Sodo teaching hospital, Southern Ethiopia, 22 32.3% in Nigeria, 33 25.4% in Addis Ababa, 9 and 28% in Portugal. 34 However, the proportion of failed IOL reported in this study was higher compared to previous studies conducted in different parts of Ethiopia like 21.4% in Jimma University Hospital, 8 Dessie Referral Hospital (19.7%), 7 and Hawassa public health facilities (17.%3), Ethiopia.…”

Section: Discussionsupporting

confidence: 89%

“…19 However, a Bishop score of 6 or lower increases the likelihood that induction will fail to result in vaginal delivery. 7,20 In Ethiopia, although few studies have been conducted in the last 5 years, almost all previous researchers were selective to central and northern parts (Addis Ababa, Amhara, and Tigray regions), 7,9,21 rarely to the southern and Oromia regions, 10,22 and neglecting other parts of the country, particularly Afar, Harari, and Somali regions. Furthermore, to the best knowledge of the researchers, there is limited evidence regarding the outcome of IOL in this study area.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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

et al. 2022

View full text Add to dashboard Cite

Background: Failed induction of labor continues to be a public health challenge throughout the world. This failed induction of labor is associated with a higher rate of maternal and fetal morbidity because it increases the unwanted effect of emergency cesarean section. It is also associated with an increased risk of numerous adverse maternal and perinatal outcomes such as uterine rupture, nonreassuring fetal heart rate tracing, postpartum hemorrhage, stillbirth, and severe birth asphyxia. Thus, this study was aimed to assess the failed induction of labor and associated factors in the Adama Hospital Medical College, Oromia Regional State, Ethiopia. Methods: A facility-based cross-sectional study was conducted from 1 to 30 December 2020 in Adama Hospital Medical College, Ethiopia. A total of 379 women who underwent labor induction in the Adama Hospital Medical College from December 2019 to November 2020 were enrolled in the study. The participants’ charts were selected using a simple random sampling technique. Data were collected using a pretested and validated structured questionnaire. Descriptive statistics were carried out using frequency tables, proportions, and summary measures. Predictors were assessed using a multivariable logistic regression analysis model and reported using adjusted odds ratio with 95% confidence interval. Statistical significance was considered at a p value <0.05. Results: Of 379 induced labor included in the study, the proportion of failed induction was found to be 29.6% (95% confidence interval (25.2, 34.3)). Prelabor rupture of the membrane was found to be the most common indication for induction of labor (46.4%) followed by a hypertensive disorder of pregnancy (21.6%). In the final model of multivariable analysis, predictors such as: nulliparity (adjusted odds ratio = 2.32, 95% confidence interval (1.08, 5.02)), unfavorable cervical status (adjusted odds ratio = 3.46, 95% confidence interval (1.51, 7.94)), prelabor rupture of membrane (adjusted odds ratio = 2.60, 95% confidence interval (1.14, 5.91)), hypertensive disorder of pregnancy (adjusted odds ratio = 3.01;95% confidence interval (1.61, 558)), preinduction membrane status (adjusted odds ratio = 3.63; 95% confidence interval (1.48, 8.86)), and birth weight of greater than 4000 g (adjusted odds ratio = 4.33; 95% confidence interval (1.44, 13.02)) were statistically associated with failed induction of labor. Conclusion: The prevalence of failed induction of labor was relatively high in this study area because more than a quarter of mothers who underwent induction of labor had failed induction. This calls for all stakeholders to adhere to locally available induction protocols and guidelines. In addition, pre-induction conditions must be a top priority to improve the outcome of induction of labor.

show abstract

Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Induction of labor can use a variety of methods, pharmacological and non-pharmacological [ 1 , 4 ]. Cervical ripening agents, artificial rupture of membranes, and uterine stimulation with oxytocin are all methods for inducing labor [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…Despite the fact that IOL is an essential practice in preventing neonatal and maternal mortality and morbidity, it is not always successful and can have unfavorable results. A review of the literature showed that, among women who had IOL, only 84% of mothers in Saudi Arabia [ 12 ], 80.6% in India [ 13 ], 75.9% in Nigeria [ 14 ], and 59.7% in Ethiopia [ 5 ] achieved a vaginal delivery. Maternal age [ 15 , 16 ], place of residence [ 17 ], body mass index (BMI) [ 12 , 18 ], Parity [ 12 , 18 ], [ 17 , 19 , 20 ], gestational age (GA) [ 12 , 17 , 18 ], Bishop score [ 12 , 18 – 21 ], APGAR score [ 12 , 22 ], fetal heart rate pattern [ 17 ], indications [ 13 , 18 , 23 ], hypertensive disorder[ 24 ] and methods of induction [ 17 , 24 , 25 ] were factors associated with the success of labor induction.…”

Section: Introductionmentioning

confidence: 99%

The prevalence and associated factors of success of labor induction in Hargeisa maternity hospitals, Hargeisa Somaliland 2022: a hospital-based cross-sectional study

Farzaneh

Aynalem

Seyoum

et al. 2023

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

Background The induction of labor is an artificial initiation of labor and has become one of the most common interventions in modern obstetrics to improve maternal and neonatal health. Understanding the prevalence and pregnancy outcomes following labor inductions is crucial in regions with high rates of maternal mortality and morbidity because of insufficient access to comprehensive emergency obstetric care. Therefore, this study aimed to assess the prevalence and associated factors of the success of induction of labor in Hargeisa maternity hospital Somaliland. Methods A hospital-based cross-sectional study was employed among 453 women in Hargeisa maternity hospitals, Somaliland from January 1st to March 30th, 2022. Data were entered using Epi data version 4.6 and analyzed by using SPSS version 25. Bivariable and multivariable logistic regression were used to identify the associated factors with the success of labor induction and an odds ratio with a 95% confidence interval was used to measure the strength of the association. A P-value of ≤ 0.05 was considered statistically significant in multivariate analysis. Results Of a total of 453 study participants who had undergone induction of labor, 349 (77%) of them had successful induction of labor with a 95% CI: 73%, 81%. Favorable Bishop score (AOR = 3.45, 95% CI: 1.98, 5.99), time from the start of induction to delivery < 12 h (AOR = 4.01, 95% CI: 2.16, 7.450), non-reassuring fetal heart rate pattern (AOR = 0.42, 95% CI: 0.22, 0.78) and amniotic fluid change to meconium (AOR = 0.43, 95% CI: 0.23, 0.79) were significantly associated with the success of labor induction. Conclusion This study implies that three out of four women who underwent induction had successful induction of labor. Favorable bishop score, time from the start of induction to delivery < 12 h, non-reassuring fetal heart rate pattern, and amniotic fluid change to meconium were significantly associated with the success of labor induction. The hospital should establish a clear bishop scoring system and there should be a strict follow-up on the condition of the fetal heartbeat and take corrective actions as needed. The factors related to healthcare facilities and providers need to be addressed by additional prospective studies.

show abstract

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

Worku¹,

Assebe²,

Gobena³

et al. 2023

Preprint

View full text Add to dashboard Cite

Background. “Induction of labor is not risk free, despite its importance for ending risky pregnancy compare to spontaneous onset of labor it has potential harms and it increases the rate of different maternal and neonatal complications.” Due to this WHO recommends IOL with only clear medical indications when the benefit more significant than potential harms. Even though there is a few study on IOL that address magnitude of birth outcome after IOL no study is found that determine the contributing factors to birth outcomes after IOL in Ethiopia especially in my study area, therefore the factors that affect the birth outcome after IOL need to be clearly understood. Objective: To assess the magnitude birth outcome after induced labor and associated factor among child bearing mother who deliver in NEMMCSH in the last two years (January 01, 2019 to December 31, 2020 GC). Data was collected from June 25 to July 09, 2021 GC. Methods: Hospital based retrospective cross-sectional study was conducted on 778 study participants selected by systematic random sampling technique among all child bearing mothers delivered by induction in NEMMCSH from January 01, 2019 to December 31, 2020 GC. Data was collected from patient cards, delivery registration log books and operation note books. Then data were entered and coded using EPI data version 3.1 and analyzed using SPSS version 25. Bivariate and multivariate logistic regression analysis was carried out to determine the association different potential factors with the birth outcome after IOL. Independent predictors were determined using adjusted odd ratio with 95% CL at p value < 0.05 in multivariate logistic regression analysis. Results: In this study the magnitude of still birth after IOL was 9.6%. Rural residence [AOR=3.59; 95%CI:(1.32, 9.80)], maternal chronic medical diseases [AOR=3.58; 95% CL: (1.23, 10.41)], history of previous still birth [AOR=7.45; 95%CI: (2.45, 22.38)], Partograph use [AOR=0.034; 95%CI: 0.01,0.09)], delivering < 8 hours[AOR=0.13; 95%CI: (0.03,0.56)] and delivering within 8-16[AOR=0.28; 95%CI:(0.10, 0.76)] hours were significant predictors for still birth. Conclusions: The magnitude of still birth after IOL was relatively high in the study area. Variables which increase the likelihood of still birth were, living in rural area and previous history of still birth. The recommendations also forwarded for health care provider, NEMMCSH, different stakeholders and for researchers.

show abstract

Success of labour induction institution based cross-sectional study Wolaita Sodo, South Ethiopia

Cited by 9 publications

References 13 publications

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

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

The prevalence and associated factors of success of labor induction in Hargeisa maternity hospitals, Hargeisa Somaliland 2022: a hospital-based cross-sectional study

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

Contact Info

Product

Resources

About