Failed induction of labor and associated factors among women delivered in Jigjiga University Sheik Hassan Yabare Referral Hospital: a cross-sectional study.

Abstract

OBJECTIVE:

This study was aimed to assess the magnitude of failed induction of labor and associated factors among mothers delivered in Eastern Ethiopia.

METHODS:

An institutional-based cross-sectional study was carried out among 364 women who had induction of labor at Jigjiga University, Sheik Hassan Yabare Referral Hospital from 2018 to 2021. A checklist was used to collect the data from the women's chart. To isolate independent predictors related to failed induction of labor, multivariate logistic regression analyses were performed.

RESULT:

The magnitude of failed induction of labor was 36.8% (95% CI: 31.8, 42.0). Age (AOR = 3.2; CI: 1.78, 5.75), rural residency (AOR = 2.28; CI:1.29, 4.01), para (AOR = 2.76; CI: 1.55, 4.91), gestational age (AOR = 2.65; CI: 1.44, 4.89), multiple pregnancy (AOR = 2.36; CI: 1.01, 5.55), premature rapture of membrane (AOR = 4.88; CI: 2.33, 10.21), pregnancy-induced hypertension (AOR = 5.11; CI: 2.67, 9.79), and bishop score (AOR = 1.95; CI: 1.15, 3.32) were significantly associated with failed induction of labor.

CONCLUSION:

The magnitude of failed induction of labor was relatively high in the study setting. Failed induction of labor was significantly associated with age, rural residency, primipara, gestational age, multiple pregnancy, premature rapture of membrane, PIH, and bishop score less than six. Prior to initiating the induction of labor, proper pelvis assessment and cervical ripening for bishop score might be considered. Beside to this, adherence to locally available induction protocols and guidelines might also be needed.

• Authors: Andualem Mebratu, Dawit Getachew Assefa, Eden Dagnachew Zeleke, Nebiyu Mengistu, Tigist Tekle Woldesenbet, Amdehiwot Aynalem, Ahmedin Sefa, Dawit Mellesse, Ruth Tilahun, Wubareg Seifu, Yesuneh Bayisa, Meiraf Daniel Meshesha, Aregahegn Wudneh, Getnet Melaku Ayele, Biniyam Demisse, Robel Hussen Kabthymer, Asrat Alemu, Mesfin Abebe Eshetu, Abbas Ahmed Mahamed, Tesfaye Temesgen, Mengistu Lodebo Funga, Aneleay Cherinet Eritero, Saron Aregawi, Tilahun Wodaynew, Zerihun Figa, Wondwosen Molla
• Journal: Current medical research and opinion (Curr Med Res Opin) Vol. 38 Issue 9 Pg. 1655-1662 (09 2022) ISSN: 1473-4877 [Electronic] England
• PMID: 35852409 (Publication Type: Journal Article)

Topics

• Cross-Sectional Studies
• Female
• Hospitals
• Humans
• Labor, Induced (methods)
• Pregnancy
• Referral and Consultation
• Universities