Research Article
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Abstract
BACKGROUND
Although induction of labor is intended to achieve a safe vaginal delivery, its process is not always successful. Failed induction of labor leads to an increased risk of complication for both mother and fetus. Thus, this study aimed to assess the proportion of failed induction of labor and associated factors among women who undergone induction of labor from September 1, 2019 to August 31, 2020 in Jimma Medical Center (JMC), southwest Ethiopia.
METHODS
A hospital-based retrospective cross-sectional study was conducted on 243 charts of women who had induction of labor in JMC selected by a simple random sampling method from January 10 to 30, 2021. The collected data were entered into Epi-data version 4.2 and analyzed by SPSS version 23. Bivariate and multivariable logistic regression analyses were done to test the association. Adjusted odds ratio at 95% confidence interval (CI) and P-value <.05 was used to ascertain statistical significance.
RESULTS
The proportion of failed induction of labor in JMC was 16.9%. Maternal age ≥ 30 years (AOR 7.57; 95%CI = 2.88, 19.9) at (P-value = .000), elective induction (AOR .39; 95% CI = .16, .98) at (P-value = .045), and unfavorable bishop score (AOR 6.94; 95%CI = 2.35, 20.4) at (P-value = .000) were factors statistically significantly associated with failed induction of labor.
CONCLUSIONS
The proportion of failed induction of labor was relatively low in the study area. Advanced maternal age, elective induction, and unfavorable bishop score were associated with failed induction of labor. Thus, the hospital should strictly follow the protocol for induction of labor, and candidates of emergency induction of labor should be counseled thoroughly so as to be well prepared psychologically for the labor thereby reducing the risk of failed induction.
Period | Abstract | Full | Total | |
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Apr 2024 | 20 | 0 | 1 | 21 |
Mar 2024 | 53 | 0 | 0 | 53 |
Feb 2024 | 21 | 0 | 0 | 21 |
Jan 2024 | 63 | 0 | 0 | 63 |
Dec 2023 | 20 | 0 | 0 | 20 |
Nov 2023 | 23 | 0 | 0 | 23 |
Oct 2023 | 21 | 0 | 0 | 21 |
Sep 2023 | 10 | 0 | 0 | 10 |
Aug 2023 | 9 | 0 | 0 | 9 |
Jul 2023 | 17 | 0 | 0 | 17 |
Jun 2023 | 488 | 0 | 2 | 490 |
May 2023 | 392 | 0 | 0 | 392 |
Apr 2023 | 353 | 1 | 0 | 354 |
Mar 2023 | 497 | 0 | 0 | 497 |
Feb 2023 | 326 | 0 | 0 | 326 |
Jan 2023 | 619 | 2 | 1 | 622 |
Dec 2022 | 265 | 3 | 1 | 269 |