Induction of Labor Prevalence and Associated Factors for Its Outcome at Wolliso St. Luke, Catholic Hospital, South West Shewa, Oromia

Abdulkadir, Y; Dejene, ariku; Ma, Geremew; Dechasa, B

doi:10.4172/2165-8048.1000255

Cited by 16 publications

(21 citation statements)

References 6 publications

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“…This might be justified by the fact that macrosomia is associated with labor dystocia and cephalo-pelvic disproportion thus ending in cesarean delivery. Our finding however, was not consistent with different literatures of the similar settings in Ethiopia that showed no association between neonatal birth weight outcome and induction success [13][14]16].…”

Section: Determinants Of Successful Inductioncontrasting

confidence: 99%

“…Being parous, having favorable Bishops score at initiation of oxytocin and performing ARM were significantly associated with increased success of induction by 2 times, 4 times and 8 times compared to nulliparous, unfavorable Bishop score and not performing ARM respectively. These results were in line with other study reports from Ethiopia [13][14][15][16]. This is because it is a well-established science that being parous, favorable cervical status and elective amniotomy or ARM were good predictors of successful induction of labor.…”

Section: Determinants Of Successful Inductionsupporting

confidence: 92%

“…On other hand, of all remaining elective inductions, 68% were induced for post term pregnancy. Post term was associated with decreased induction success as seen in different literatures [14,16].…”

Section: Determinants Of Successful Inductionmentioning

confidence: 77%

See 2 more Smart Citations

High Dose and Low Dose Oxytocin Regimens as Determinants of Successful Labor Induction: A multicenter comparative study

Tesemma

Sori

Gemeda

2019

Preprint

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Background: Induction of labor by Oxytocin is a routine obstetric procedure. However, little is known regarding the optimal dose of oxytocin so as to bring successful induction. This study was aimed at comparing the effects of high dose versus low dose oxytocin regimens on success of induction. Methods: Hospital-based comparative cross-sectional study was conducted in four selected hospitals in Ethiopia from October 1, 2017 to May 30, 2018. A total of 216 pregnant women who undergo induction of labor at gestational age of 37 weeks and above were included. Data were entered into Epi-data version 3.1 and then exported to SPSS version 20 for cleaning and analysis. Chi-square test and logistic regression were done to look for determinants of successful induction. The result was presented using 95% confidence interval of crude and adjusted odds ratios. P-value < 0.05 was used to declare statistical significance. Result: The mean “Induction to delivery time” was 5.9 hours and 6.3 hours for participants who received high dose Oxytocin and low dose Oxytocin respectively. Higher successful induction (72.2% versus 61.1%) and lower Cesarean Section rate (27.8% vs. 38.9) were observed among participants who received low dose Oxytocin compared to high dose. Favourable bishop score [AOR 4.0 95% CI 1.9, 8.5], elective induction [AOR 0.2 95% CI 0.1, 0.4], performing artificial rupture of membrane [AOR 10.1 95% CI 3.2, 32.2], neonatal birth weight of < 4Kg [AOR 4.3, 95% CI 1.6, 11.6] and being parous [AOR 2.1 95% CI 1.1, 4.0] were significantly associated with success of induction. Conclusions: In this study, Different oxytocin regimens didn’t show significant association with success of induction. But, high dose oxytocin regimen was significantly associated with slightly shorter induction to delivery time. Favourable bishop score, emergency induction, performing artificial rupture of membrane and delivery to non-macrosomic fetuses were positive determinants of successful induction.We recommend researchers to conduct multicenter research on a large number of patients that controls confounders to see the real effects of different oxytocin regimens on success of labor induction.

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Section: Determinants Of Successful Inductioncontrasting

confidence: 99%

Section: Determinants Of Successful Inductionsupporting

confidence: 92%

See 1 more Smart Citation

High Dose and Low Dose Oxytocin Regimens as Determinants of Successful Labor Induction: A multicenter comparative study

Tesemma

Sori

Gemeda

2019

Preprint

View full text Add to dashboard Cite

show abstract

“…This might be justified by the fact that macrosomia is associated with labor dystocia and cephalo-pelvic disproportion thus ending in cesarean delivery than successful vaginal delivery. Our finding however, is not consistent with different literatures of the similar settings in Ethiopia that showed no association between neonatal birth weight outcome and induction success [13][14]16].…”

Section: Determinants Of Successful Inductioncontrasting

confidence: 99%

“…Being parous, having favorable Bishops score at initiation of oxytocin and performing ARM are significantly associated with increased success of induction by 2 times, 4 times and 8 times compared to nulliparous, unfavorable Bishop score and not performing ARM respectively. This is in line with other study reports from Ethiopia [13][14][15][16]. This is because it is a well-established science that being parous, favorable cervical status and elective amniotomy or ARM are good predictors of successful induction of labor.…”

Section: Determinants Of Successful Inductionsupporting

confidence: 91%

High Dose and Low Dose Oxytocin Regimen as Determinants of Successful Induction: A multicenter comparative study

Tesemma

Sori

Gemeda

2019

Preprint

View full text Add to dashboard Cite

Background Induction of labor by Oxytocin is a routine obstetric procedure. However, little is known regarding the optimal dose of oxytocin so as to bring successful induction. This study is aimed at comparing the effect of high dose versus low dose oxytocin regimen on success of induction.Methods Hospital based comparative cross-sectional study was conducted in four selected hospitals in Ethiopia from October 1, 2017 to May 30, 2018. A total of 216 pregnant women who undergo induction of labor at gestational age of 37 weeks and above were included. Data was entered into Epi-data version 3.1 and then exported to SPSS version 20 for cleaning and analysis. Chi-square test and logistic regression were done to look for determinants of successful induction. The result is presented using 95% confidence interval of crude and adjusted odds ratios. P-value < 0.05 was used to declare statistical significance.Result Mean “Induction to delivery time” was 5.9 hours and 6.3 hours for participants who received high dose Oxytocin and low dose Oxytocin respectively. Higher successful induction (72.2% versus 61.1%) and lower Cesarean Section rate (27.8% vs. 38.9) was observed among participants who received low dose Oxytocin compared to high dose. Favourable bishop score [AOR 4.0 95% CI 1.9, 8.5], elective induction [AOR 0.2 95% CI 0.1, 0.4], performing artificial rupture of membrane [AOR 10.1 95% CI 3.2, 32.2], neonatal birth weight of < 4Kg [AOR 4.3, 95% CI 1.6, 11.6] and being parous [AOR 2.1 95% CI 1.1, 4.0] were significantly associated with success of induction. Conclusions : In this study, oxytocin regimen didn’t show significant association with success of induction. But, high dose oxytocin regimen is significantly associated with slightly shorter induction to delivery time. Favourable bishop score, emergency induction, performing artificial rupture of membrane and delivery to non-macrosomic neonate are positive determinants of successful induction. Thus, we recommend ripening cervix when condition allows, estimating fetal weight and performing artificial rupture of membrane. We also recommend researchers to conduct more strong research that controls confounders to see the real effect of different oxytocin regimen on induction success.

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

Assemie,

Mihiret,

Mekonnen

et al. 2023

Obstetrics and Gynecology International

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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.

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Induction of Labor Prevalence and Associated Factors for Its Outcome at Wolliso St. Luke, Catholic Hospital, South West Shewa, Oromia

Cited by 16 publications

References 6 publications

High Dose and Low Dose Oxytocin Regimens as Determinants of Successful Labor Induction: A multicenter comparative study

High Dose and Low Dose Oxytocin Regimens as Determinants of Successful Labor Induction: A multicenter comparative study

High Dose and Low Dose Oxytocin Regimen as Determinants of Successful Induction: A multicenter comparative study

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

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