Gynäkologie und Geburtshilfe
Offener Zugang

Abstrakt

Outcome of Labor Induction and its Associated Factor among Laboring Women at Dilchora Referral Hospital, Dire Dawa, Eastern Ethiopia

Abel Shiferaw, Tesfaye Assebe, Melake Demean Abeselom Assefa

Background: Induction of labor has a great role to prevent neonatal and maternal mortality and morbidity. Despite its role Induction sometimes fails with a potential risk of increased maternal and neonatal mortality and morbidity. In Dire Dawa, there was no study done on the outcomes of labor inductions. Therefore, this study is planned to fill this gap by studying the outcome of labor induction and associated factors among women who had delivered at Dilchora referral hospital in Dire Dawa, East Ethiopia. Objective: To determine the outcome of labor induction and associated factors among women who had delivered at Dilchora referral hospital Dire Dawa East Ethiopia, May 15 to June 1, 2020. Methods: Hospital-based retrospective cross-sectional study (July 8, 2014, up to July 08, 2019) was employed by using a pre-tested structured questionnaire to collect data from a sample of 444 charts using a systematic random sampling method by trained data collectors. First, bivariate analysis was done to select variables for multivariate analysis, and those variables with a p-value of 0.25 or less interred into multivariate analysis. In multivariable analysis, those variables with a p-value <0.05 are considered significantly associated. The model adequacy was checked by using the Hosmer and Lemeshow goodness of fit test. Result: The result of the study revealed that Post-Term mothers [(AOR: 0.49 (0.25-0.98.The mother whose labor is induced by misoprostol [(AOR: 2.5 (1.08-5.94] the mother whose labor is induced by both (oxytocin and misoprostol) [(AOR: 0.33 (0.13-0.86)] and non-reassuring fetal heart rate pattern [(AOR: 0.10(0.03-0.30)] were significantly associated with the success of induction. Conclusion: The prevalence rate of success of labor induction was found (83.6%). And the most common indications for labor inductions were PROM and Post term. Furthermore, the study described that the most common method of induction in Dilchora referral Hospital is iv oxytocin and the minister of health should develop national evidencebased clinical practice guidelines for the labor of induction and enforce its implementation.