Factors predicting failure of labour induction

Autor: V O, Oboro, A I, Isawumi, S E, Akinola, J O, Komolafe, A M, Tijani, A O, Adesina
Rok vydání: 2007
Předmět:
Zdroj: Nigerian Postgraduate Medical Journal. 14:137
ISSN: 1117-1936
DOI: 10.4103/1117-1936.177479
Popis: Our objective was to identify risk factors for failed labour induction. From January 2001 to December 2005, we conducted a retrospective case-control study in a Nigerian University Hospital. Cases were women who failed to deliver vaginally after labour induction, and therefore had caesarean section. Controls were patients who were similarly induced and achieved vaginal delivery. Univariate followed by Logistic regression analysis were performed. Failed induction occurred in 37.6%. Variables significantly and independently associated with failed induction were cervical effacement70% (adjusted odds ratio [OR] 5.12; 95% confidence interval [CI] 2.65-9.90), Bishop's score6 (OR 3.47; CI 1.75 - 6.85), nulliparity (OR 3.91; CI 1.92 - 7.99). Prolonged pregnancy independently reduced failure rate (OR 0.44: CI 0.24 - 0.81). These variables can help determine patients that will require early recourse to caesarean delivery in order to avoid prolonged induction-delivery interval.
Databáze: OpenAIRE