Berhe Semarya (PhD)wodaje Mulugeta2018-11-282023-11-062018-11-282023-11-062018-06http://etd.aau.edu.et/handle/123456789/14605Despite its great significant, to prevent neonatal and maternal mortality and morbidity induction of labour has a potential of failure to progress leading to caesarean birth and its complication. Due to this World Health Organization (WHO) recommends induction to be performed only with a clear medical indication when expected benefits outweigh potential harms. The objective of the study was to assess the prevalence and failure rate of induction of labour with associated factors among mothers delivered at Woldia General Hospital Northern Ethiopia from 2013 to 2017. The study was conducted using institutional based retrospective cross sectional study on 380 study samples selected by systematic random sampling method among all mothers delivered at Woldia general hospital from 2013 to 2018. Data entered and coded using Epi data 4.2 and analyzed using SPSS version 20.0. Bivariate and multivariate logistic regression analysis carried out to determine the association of different potential factors with prevalence and outcome of induction of labour. Independent predictors were determined using adjusted odds ratio with 95% confidence interval and at p-value of < 0.05 in multivariate regression analysis. The result of the study revealed that out of total delivery induction of labour was done in 89(24.4%) with 37.4% of them had failed induction of labour. The study also found out that Parity, gestational age and diastolic blood pressure of the mother have significant association with induction of labour with AOR of 3.1, 3.8 and 4.8 respectively. Furthermore, Bishop Score of less than six and primi Para were found with a significantly higher rates of caesarean section at AOR of4.11(95% CI: 1.31, 12.86) and 3.48(95% CI: 1.15, 10.55) respectively. As conclusion the prevalence of induction of labour inWoldia general hospital was relatively high with a higher risk of caesarean delivery. Therefore, the minister of health and the hospital should give greater emphasis for improving the induction of labour service. Further studies also needed on this field to investigate predictors of failed induction of labour.en-USprevalence of induction of labour; labour outcome; failed induction; Woldia;Thesis