Induction of labor prevalence and associated factors in nekemte referral hospital, west Ethiopia.

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.