Induction of labour at Jos University teaching, hospital, Jos, Nigeria: a four year review

Abstract

Background: Induction of labour (IOL) is a common procedure that remains a relevant Obstetric procedure. The maternal and perinatal outcomes are paramount hence the need to review the intervention in order to implement needed change. Objectives: To determine incidence, indications, outcome and complications of induction of labour at the Jos University Teaching Hospital (JUTH), Jos, Nigeria. Methods: This was a retrospective study reviewing 584 women who had IOL in JUTH from January 2004 to December 2007. Parameters selected for review include parity, gestation age, outcome and cervical state prior to IOL. Results: Four hundred and eighty women had vaginal deliveries (82.2%). There were fifty two induced on account of antepartum Intra Uterine Foetal Deaths (IUFD), while 1.5% of the deliveries ended up as still births, 10.5% had birth asphyxia and neonatology review and care. Thirty two patients had various complications after IOL. There were no maternal mortalities. Conclusion: Parity and presence of IUFD were found to influence the outcome of IOL.

Relationship between Bishop Score and Success of Induction of Labour in Federal Teaching Hospital, Abakaliki, Ebonyi State

“…Primigravidae had the highest rate of caesarean delivery followed by women undergoing their 7 th delivery. similar to values of 2.9% recorded in Ebonyi state university teaching hospital, Abakaliki (EBSUTH) [10] and was also comparable to studies in Jos and Sokoto where 4.5% and 3% were reported respectively [16]. However higher rates of labour induction were reported in Cross River, Nigeria (11.5%) [11] and United…”

“…Postdate accounted for the highest indication for induction of labour (43.94%), while intra uterine fetal death accounted for 19.70%. A similar modal indication was noted in a similar study in Nigeria [10] [16] however, hypertensive disorders in pregnancy were the second highest in these studies unlike in our review.…”

“…The similarity with a study by Obuna et al [10] might be due to the fact that EBSUTH where the study was conducted is now a component of FETHA with similar patient characteristics while the difference could be accounted for by difference in patient characteristics and the increased unmet needs for induction of labour in Africa [9]. The success rate of induction of labour in the study was 75.4% which is comparable to other studies in Nigeria which recorded a success rate of 75.9% in Cross River, 83.1% in Abakaliki and 82.2% in Jos [16]. However, higher success rate of more than 90% was reported in Sokoto, Nigeria by Ekele et al [17].…”

Analysis of preterm induction of labour

“…In our study, vaginal delivery occurred in 87.1% of women undergoing preterm IOL, increasing with gestational age. The increase in vaginal delivery rates with increasing gestational age was comparable to, but greater than, that of Nassar and colleagues, who reported a success rate of 31.6% at ≤28 weeks, and 62.5% at >32 weeks in their series of 145 patients undergoing IOL for severe preeclampsia remote from term [7] . The higher vaginal delivery rates we observed may be related to heterogeneity in the indications for IOL in our cohort, including conditions with less threatening maternal and fetal risks than severe preeclampsia.…”

Analysis of Preterm Induction of Labour

“…IUFD may be considered a predictive factor in induction of labour as foetal indications for surgery like foetal distress are eliminated and induction duration can be prolonged. [13] ISSN No:-2456-2165…”