Abstract:
Background: Over recent decades, more pregnant women around the world have
undergone labor induction to deliver their babies. In developing countries up to 25% of
all deliveries at term now involve induction of labor, but in some developing countries
the rate are generally lower. Induction is indicated when the benefits to either the mother
or the fetus outweigh those of continuing the pregnancy.
Objective: To determine the prevalence of labor induction, together with its factors
associated with induction of labor in Nekemte Referral Hospital, west Ethiopia.
Methods: A facility based cross sectional study design was conducted in 2014 G.C to
determine the prevalence and associated factors of labor induction on mothers who
delivered in Nekemte Hospital from September 1, 20011 to August 30, 2013 G.C. The
data on Socio-demographic and obstetric factors was collected from charts of women,
log book of the delivery unit and operation theatre registrations, using pretested data
collection format by trained data collectors. The collected data was cleaned, edited, and
fed to computer to be analyzed using SPSS for window version 16.0.
Results: Majority of study participants were in the age between 20-34 years 540 (89.3%).
Among 436 (72%) were term and more than 2/3 were nullparous. Prevalence of
induction of labor was 111(18.3%). Post term was the commonest indication for
induction of labor 36(32.4%) followed by PROM 32(28.8%). Majority of the induction
were successful, 98(88.3%) and the remaining failed 13(11.7%). With regard to maternal
and fetal outcome, about 2(1.8%) mothers had complication including uterine rupture
and post partum hemorrhage secondary to uterine atone following induction of labor and
11(9.9%) had bad neonatal outcome.
