Outcomes and Associated Factors of Induction of Labor in East Gojjam Zone, Northwest Ethiopia: A Multicenter Cross-Sectional Study.

Autor: Assemie MA; Department of Public Health, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia., Mihiret GT; Department of Midwifery, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia., Mekonnen C; Department of Midwifery, Debre Markos Comprehensive Specialized Hospital, Debre Markos, Ethiopia., Petrucka P; College of Nursing, University of Saskatchewan, Saskatoon, Canada., Getaneh T; Department of Midwifery, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia., Ashebir W; Department of Public Health, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia.
Jazyk: angličtina
Zdroj: Obstetrics and gynecology international [Obstet Gynecol Int] 2023 Jun 14; Vol. 2023, pp. 6910063. Date of Electronic Publication: 2023 Jun 14 (Print Publication: 2023).
DOI: 10.1155/2023/6910063
Abstrakt: Background: Induction of labor is the initiation of uterine contractions by artificial methods once the fetus has reached viability and prior to spontaneous onset of labor with the aim of achieving vaginal delivery. Although induction of labor is a critical life-saving intervention that potentially reduces adverse pregnancy outcomes, sometimes it has undesirable consequences for the health of the mother and/or the fetus. Hence, this study aimed to evaluate the outcomes and associated factors of labor induction.
Methods: An institution-based cross-sectional study was conducted from February 25 to May 25, 2020, among women undergoing induction at East Gojjam zone public hospitals in northwest Ethiopia. A structured interviewer-administered questionnaire was used to collect data from a sample of 411 mothers who were selected using a systematic random sampling technique. Stata/se™ Version 14 statistical software was used to analyze the data. Multivariable binary logistic regression was used to determine the potential factors affecting successful labor induction. Adjusted odds ratios with their 95% CI intervals were used to declare the strength of the association, and a variable with p value <0.05 was considered to have statistical significance.
Results: The prevalence of successful induction of labor was 70.3% (65.6, 74.7). The favorable Bishop score ((CI 3.90, 1.63-9.29); p value = 0.002), the intermediate Bishop score ((CI 3.53, 2.15-5.82); p value = 0.001), labor induction using oxytocin with cervical ripening ((CI 2.60, 1.21-5.63); p value = 0.015), and urban residence ((CI 0.48, 0.30-0.78); p value = 0.003) were associated with successful induction of labor.
Conclusion: These findings strongly suggest that cervical conditions are important determinants for the success of labor induction. Therefore, healthcare providers should confirm the favorability of the cervical status (using Bishop score) as a strict prerequisite before actual labor induction, and special consideration should be given to those pregnant women who reside in urban areas.
Competing Interests: The authors declare that they have no conflicts of interest.
(Copyright © 2023 Moges Agazhe Assemie et al.)
Databáze: MEDLINE
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