Assessment of Prevalence and Factors Affecting Success of Induction of Labour Among Women Attended Induction In Army Referral and Teaching Hospital Addis Ababa Jun 2015
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Date
2015-06
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Addis Ababa University
Abstract
Background: There are a number of complications of pregnancy that confer significant ongoing
risk to the mother or fetus. For these conditions, induction of labor is as an artificial termination
of pregnancy utilized to decrease both maternal and neonatal morbidity and mortality. The
process of inducing labor is not always successful and sometimes fails to achieve a safe vaginal
delivery.
Objectives: The objective of the study is to assess the prevalence and factors associated with
induction of labor success among laboring mother in Addis Ababa army hospital.
Methods: Institution based retrospective cross-sectional study was conducted among 347
pregnant women undergone induction of labour from 2011-2013 in Addis Ababa referral army
hospital. Using structured questionnaire. Three data collectors and one supervisor were trained
and involved in data collection process. Data was entered and coded using Epiinfo and analysed
using Statistical Package for Social Sciences (SPSS) version 21. Descriptive statistics were used
to describe the study variables. Odds ratios (95% confidence intervals) was used to determine the
association of different factors with success of induction of labour. Logistic regression analysis
was used to assess the relative effect of determinants. A P<0.05 was considered statistically
significant in all tests of significance.
Result: A total of 347 women’s record reviewed, 207 (59.7%) of women who undergone
induct ion had successful induct ion. Oxytocin IV infusion was the only met hod used
for the purpose of induct ion. In addit ion PROM, 167 (48.1%) and postdate,
122(35.2%) were found to be the two most common reasons for induct ion. After
controlling for other factors while wo men of age ≤ 24 years, Bishop Score greater
than 5 and Apgar score greater than or equal to 7 at first minute were significant ly
more likely to have successful induct ion of labor.
Conclusion: Generally this study has disclosed three from five women who undergone
induction had successful induction. The study also revealed that age of women, bishop score,
Apgar score and fetal heart beat at the beginning of induction were significantly associated with
success of induction of labor.
Recommendation: The hospital should have qualit y assurance programs and
induct ion policies, including safet y tools such as checklists, to ensure t hat
induct ions are performed in the best possible qualit y.
Key words Induction of labor, failed induction of labor, Success of induction of
labor, fetal heart rate non-reassuring
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Keywords
Induction of labor, Failed induction of labor, Success of induction of labor, Fetal heart rate non-reassuring