PREVALENCE AND FACTOR ASSOCIATED WITH SUCCESSFUL INDUCTION OF LABOR AMONG MOTHERS DELIVERED IN DEBRE BERHAN COMPREHENSIVE SPECIALIZED HOSPITAL, 2020 G.C A RETROSPECTIVE CROSS SECTIONAL STUDY

Abstract

Background; Induction of labor is a process of artificial initiation of uterine contractions after the age of fetal viability and before spontaneous onset of labor, with the aim of achieving cervical effacement and dilatation leading to vaginal delivery. But it is not always successful to achieve vaginal delivery due to several factors. Objective; the aim of this study was to assess prevalence and factor associated with success of labor induction among mothers delivered in Debre Berhan comprehensive specialized hospital Methods; Institution based retrospective cross-sectional study was employed among 405 documents of women who undergone induction of labor from January 2018 to December 2019 in Debre Berhan comprehensive specialized hospital by using structured checklists. Five BSc midwives collected the data. Data was entered and coded by using Epi data version 3.1, and analyses were done by SPSS version 22. Descriptive statistics was used to describe the study variables. An odds ratio (95% confidence intervals) binary and multiple logistic analyses were used to determine the association of different factors with success of induction of labor. P < 0.05 was considered statistically significant in multivariate regression analysis. Result; A total of 405 women’s document reviewed, 267(65.9%), [95%CI: 61.7-70.4] of women who undergone induction of labor had successful induction. The most common indication for induction was premature rupture of membrane (48.1%). the study also found that multigravida women’s and diastolic blood pressure less than 90 mmhg were 2.4 times more likely to have successful induction with AOR of 2.47 (95%CI:1.35-3.05) and 2.08 (95%CI:1.12-3.86) respectively. Conclusion; Generally this study implies two out of three women’s who undergone induction of labor had successful induction. Diastolic blood pressure and number of pregnancies were significant association to the success of induction. Recommendation; the hospital should set clear bishop score systems on the induction chart. In addition it should have a follow-up and evaluation on the assessment and documentation of bishop score.