Prevalence, associated factors, and outcomes for labor induction at a tertiary hospital in Northern Tanzania: A retrospective cohort study 2000 - 2015

Tarimo, Clifford Silver; Wu, Jing; Obure, Joseph; Mj, Mahande

doi:10.21203/rs.3.rs-27915/v1

Cited by 2 publications

(1 citation statement)

References 36 publications

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“…were induced by prostaglandin, study done in Hawassa public hospitals and study done in Tigray Mekelle (31,40,55).…”

Section: Discussionmentioning

confidence: 99%

Magnitude Of Birth Outcome After Induced Labor Among Mothers Delivered In Nigist Eleni Mohammed Memorial Comprehensive Specialized Hospital, Hosanna Town, Hadiya Zone, Southern Ethiopia. Cross-Sectional Study

Worku¹,

Assebe²,

Gobena³

et al. 2023

Preprint

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Background. “Induction of labor is not risk free, despite its importance for ending risky pregnancy compare to spontaneous onset of labor it has potential harms and it increases the rate of different maternal and neonatal complications.” Due to this WHO recommends IOL with only clear medical indications when the benefit more significant than potential harms. Even though there is a few study on IOL that address magnitude of birth outcome after IOL no study is found that determine the contributing factors to birth outcomes after IOL in Ethiopia especially in my study area, therefore the factors that affect the birth outcome after IOL need to be clearly understood. Objective: To assess the magnitude birth outcome after induced labor and associated factor among child bearing mother who deliver in NEMMCSH in the last two years (January 01, 2019 to December 31, 2020 GC). Data was collected from June 25 to July 09, 2021 GC. Methods: Hospital based retrospective cross-sectional study was conducted on 778 study participants selected by systematic random sampling technique among all child bearing mothers delivered by induction in NEMMCSH from January 01, 2019 to December 31, 2020 GC. Data was collected from patient cards, delivery registration log books and operation note books. Then data were entered and coded using EPI data version 3.1 and analyzed using SPSS version 25. Bivariate and multivariate logistic regression analysis was carried out to determine the association different potential factors with the birth outcome after IOL. Independent predictors were determined using adjusted odd ratio with 95% CL at p value < 0.05 in multivariate logistic regression analysis. Results: In this study the magnitude of still birth after IOL was 9.6%. Rural residence [AOR=3.59; 95%CI:(1.32, 9.80)], maternal chronic medical diseases [AOR=3.58; 95% CL: (1.23, 10.41)], history of previous still birth [AOR=7.45; 95%CI: (2.45, 22.38)], Partograph use [AOR=0.034; 95%CI: 0.01,0.09)], delivering < 8 hours[AOR=0.13; 95%CI: (0.03,0.56)] and delivering within 8-16[AOR=0.28; 95%CI:(0.10, 0.76)] hours were significant predictors for still birth. Conclusions: The magnitude of still birth after IOL was relatively high in the study area. Variables which increase the likelihood of still birth were, living in rural area and previous history of still birth. The recommendations also forwarded for health care provider, NEMMCSH, different stakeholders and for researchers.

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“…were induced by prostaglandin, study done in Hawassa public hospitals and study done in Tigray Mekelle (31,40,55).…”

Section: Discussionmentioning

confidence: 99%

Magnitude Of Birth Outcome After Induced Labor Among Mothers Delivered In Nigist Eleni Mohammed Memorial Comprehensive Specialized Hospital, Hosanna Town, Hadiya Zone, Southern Ethiopia. Cross-Sectional Study

Worku¹,

Assebe²,

Gobena³

et al. 2023

Preprint

View full text Add to dashboard Cite

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Adverse neonatal outcomes and associated factors among mothers who gave birth through induced and spontaneous labor in public hospitals of Awi zone, Northwest Ethiopia: a comparative cross-sectional study

Laikemariam

Aklilu

Waltengus

et al. 2023

BMC Pregnancy Childbirth

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Background Adverse neonatal outcomes are one of the most common causes of neonatal mortality and morbidity. Empirical evidence across the world shows that induction of labor potentiates adverse neonatal outcomes. In Ethiopia, there has been limited data that compares the frequency of adverse neonatal outcomes between induced and spontaneous labor. Objectives To compare the prevalence of adverse neonatal outcomes between induced and spontaneous labor and to determine associated factors among women who gave birth in public hospitals of Awi Zone, Northwest Ethiopia. Methods A comparative cross-sectional study was conducted at Awi Zone public hospitals from May 1 to June 30, 2022. A simple random sampling technique was employed to select 788 (260 induced and 528 spontaneous) women. The collected data were analyzed using statistical package for social science (SPSS) software version 26. The Chi-square test and an independent t-test were used for categorical and continuous variables, respectively. A binary logistic regression was used to assess the association between the outcome and explanatory variables. In the bivariate analysis, a p-value ≤ 0.2 at a 95% confidence interval was used to consider the variables in the multivariate analysis. Finally, statistical significance was stated at a p-value of less than 0.05. Result The adverse neonatal outcomes among women who gave birth through induced labor were 41.1%, whereas spontaneous labor was 10.3%. The odds of adverse neonatal outcomes in induced labor were nearly two times higher than in spontaneous labor (AOR = 1.89, 95% CI: 1.11–3.22). No education (AOR = 2.00, 95% CI: 1.56, 6.44), chronic disease (AOR = 3.99, 95% CI: 1.87, 8.52), male involvement (AOR = 2.23, 95% CI: 1.23, 4.06), preterm birth (AOR = 9.83, 95% CI: 8.74, 76.37), operative delivery (AOR = 8.60, 95% CI: 4.63, 15.90), cesarean section (AOR = 4.17, 95% CI: 1.94, 8.95), and labor complications (AOR = 5.16, 95% CI: 2.90, 9.18) were significantly associated factors with adverse neonatal outcomes. Conclusion and recommendation Adverse neonatal outcomes in the study area were higher. Composite adverse neonatal outcomes were significantly higher in induced labor compared to spontaneous labor. Therefore, it is important to anticipate the possible adverse neonatal outcomes and plan management strategies while conducting every labor induction.

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Prevalence, associated factors, and outcomes for labor induction at a tertiary hospital in Northern Tanzania: A retrospective cohort study 2000 - 2015

Cited by 2 publications

References 36 publications

Magnitude Of Birth Outcome After Induced Labor Among Mothers Delivered In Nigist Eleni Mohammed Memorial Comprehensive Specialized Hospital, Hosanna Town, Hadiya Zone, Southern Ethiopia. Cross-Sectional Study

Magnitude Of Birth Outcome After Induced Labor Among Mothers Delivered In Nigist Eleni Mohammed Memorial Comprehensive Specialized Hospital, Hosanna Town, Hadiya Zone, Southern Ethiopia. Cross-Sectional Study

Adverse neonatal outcomes and associated factors among mothers who gave birth through induced and spontaneous labor in public hospitals of Awi zone, Northwest Ethiopia: a comparative cross-sectional study

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