Predictors of successful induction of labour at a tertiary obstetric service in Southwest Nigeria

Bello, Folasade Adenike; Akinyotu, Oriyomi

doi:10.4103/0189-5117.192213

Cited by 15 publications

(22 citation statements)

References 1 publication

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“…A recent study in 2016 showed that 63.5% had vaginal delivery and 36.5% had caesarean section following induction of labour. 18 The most common indication for caesarean section in the study was fetal distress (43.7%) followed by thick meconium stained liquor (30.2%). Another recent study also showed fetal distress in 22.69% and meconium stained liquor in 19.33% as indications for caesarean section.…”

Section: Discussionmentioning

confidence: 82%

Maternal factors affecting outcome of induction of labour

Devarasetty

Habeebullah

2019

Int J Reprod Contracept Obstet Gynecol

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Background: Induction of labour is a common procedure in modern obstetrics and accounts for 20% among all deliveries. This study aims to assess the factors associated with success/failure of induction of labour.Methods: This is a cohort study involving 220 women who underwent induction of labour in the department of obstetrics and gynaecology, MGMCRI from December 2016 to May 2018. After obtaining informed consent, patients were recruited into the study. Maternal parameters like age, parity, gestational age, BMI, Bishop score, indication of induction, method of induction, mode of delivery, maternal complications and neonatal parameters like Apgar score, birth weight and NICU admission were analyzed. Association of all parameters with mode of delivery was done by chi square test or Fisher exact test.Results: Out of 220 women who were induced, vaginal delivery rate was 56.4%. Vaginal delivery rate was high in young women of age 20-25 years (65.2%), multiparous women (65.1%), gestational age of > 40-42 weeks (64.7%), with normal BMI (67.7%), with Bishop score ≥ 5(94.6%), induced for PROM and postdates (68.6%) and induced with single agent (74%). Most common indication of caesarean section was fetal distress (43.7%) followed by meconium stained liquor (30.2%). There were no adverse perinatal outcomes.Conclusions: Women of age 20-25 years, normal BMI and induced with single agent showed statistically significant successful induction of labour.

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Section: Discussionmentioning

confidence: 82%

Maternal factors affecting outcome of induction of labour

Devarasetty

Habeebullah

2019

Int J Reprod Contracept Obstet Gynecol

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“…Studies show that nearly 13% -20% term patients require induction of labour [1] [4]. In United States of America, the prevalence rate of induction of labour was reported to occur in 23.2% of deliveries [9] unlike in Africa where it is underutilized with an unmet need of 66% -80.2% [9]. In Nigeria, it accounts for 6.3% of deliveries [9].…”

Section: Introductionmentioning

confidence: 99%

“…In United States of America, the prevalence rate of induction of labour was reported to occur in 23.2% of deliveries [9] unlike in Africa where it is underutilized with an unmet need of 66% -80.2% [9]. In Nigeria, it accounts for 6.3% of deliveries [9]. Induction of labour accounted for 2.9% of deliveries over a 5-year period in Ebonyi State Teaching Hospital, Abakaliki [10] and induction rate of 11.5% [11] and 12.7% [9] have been reported in other studies in Nigeria.…”

Section: Introductionmentioning

confidence: 99%

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

Ikeotuonye¹,

Obuna²,

Okorochukwu³

et al. 2018

OJOG

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Background: The ripeness of the cervix is of critical importance to the probability of successful labour induction. Aim: To determine the relationship between successful induction of labour and Bishop score. Materials and Methods: A retrospective study of all obstetric patients who had induction of labour between January 1 st 2012 and December 31st 2015 was done in Federal Teaching Hospital Abakaliki. The information obtained from patients' case notes was analyzed using descriptive and inferential statistics at an alpha level of 0.05 for all statistical tests. Results: During the study period, there were 9548 deliveries; 2.76% (264) was by induction of labour with success rate of 75.4%. The mean age of the women was 28.4 ± 5.8 years; majority where nulliparous (45.45%). The most common indication for induction of labour was postdatism (43.94%). Success of induction of labour was most likely at Bishop score of 8 to 10 (OR = 0.79, 95% CI 0.72-0.84). Induction delivery interval was shortest with use of Foley catheter and misoprostol. Conclusion: Our study has shown that success of induction of labour was most likely at Bishop Score of 8-10. We advocate the use of Foley catheter and misoprostol for cervical ripening especially when there is need to expedite delivery.

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“…The induction of labor is commonly indicated in prevention of prolonged pregnancy, prelabor rupture of membranes after 34 weeks, intrauterine fetal death, placental abruption, chorioamnionitis, and hypertensive disorders as stated by NICE and ACOG [44,45]. Folasade and Oriyomi also recorded 25% of indications for postdates and 26% for premature rupture of labor [24]. Lawani et al found the major indications as postdates (45.8%), term PROM (31.9%), pre-eclampsia (4.7%), and preterm PROM (3.7%) [13].…”

Section: Tripathy and Babymentioning

confidence: 99%

“…The most common indication that requires induction of labor is postdated pregnancy [9][10][11][12][13][14][15][16][17][18][19][20][21][22]. Another frequently cited indication is term premature rupture of membrane [12,13,23,24]. Nevertheless, the hypertensive disorder remains a rare indication, rather this requires induction in higher rate [14,20,21,25,26].…”

Section: Introductionmentioning

confidence: 99%

Induction of Labor by Prostaglandin: A Review for Indications and Risk for Cesarean Section

Tripathy

Baby

2017

Asian J Pharm Clin Res

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Objective: Labor induction by medication is now preferred by many obstetricians. The impact of induction remains ambiguous, although many studies and systematic reviews have been conducted. Few studies have reported for its better outcomes while other studies with poor outcomes. The objective of the study is to identify the common indications of induction and the risk of cesarean section after induction. Methods:Various standardized databases, such as Pub Med, Scopus, and Google Scholar, were used to collect the scientific studies, where prostaglandin was used as drug of choice for induction of labor. The key words used were induction of labor, indications of induction, induction by misoprostol, induction and risk of cesarean section, etc. The survey spans over 22 years of study articles published from the year 1995-2017.Result: A total of 112 studies have been included to analyze the indications and risk of cesarean section. The most common indication found in most of the studies was post-term pregnancy. The risk of cesarean section varied from 3% to 48.7%. The common reasons for which the cesarean section was planned were, failed induction, nonprogress of labor, fetal distress, and undiagnosed CPD. Conclusion:Most of the studies recommend induction of labor as a safer option with lower risk of c-section.

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Predictors of successful induction of labour at a tertiary obstetric service in Southwest Nigeria

Cited by 15 publications

References 1 publication

Maternal factors affecting outcome of induction of labour

Maternal factors affecting outcome of induction of labour

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

Induction of Labor by Prostaglandin: A Review for Indications and Risk for Cesarean Section

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