Magnitude of Failed Induction of Labour and Associated Factors Among Women Delivered at Public Teaching Hospitals in Addis Ababa, Ethiopia,2024.

Abstract

ABSTRACT Background Induction of Labour is an artificial stimulation uterine contraction after the fetus has reached viability (after the 28th week of gestation) and before the spontaneous onset of Labour for accomplishing vaginal birth. The prevalence of induction of Labour is increasing worldwide, with a subsequent increase in the failure rate. However, there is limited evidence of failed induction of Labour in Ethiopia. Objectives: To determine the magnitude of failed induction of Labour and associated factors among women who undergoing Inductions of Labour at public teaching hospitals in Addis Ababa, Ethiopia,2024. Methods: Health facility based cross sectional study design was conducted among 412 induced women from April 15 to June 15, 2024. A systematic random sampling technique was used to select study participants. Pre-tested structured questionnaires and checklists were used to collect the data. Data were entered into EPI info version 7.2.6.0 and analyzed using SPSS version 27 software. Bivariable and multivariable logistic regression models were employed to identify factors associated with failed induction. Finally, the type, magnitude, and precision of association is presented using adjusted odds ratio with 95% confidence interval and variables with p-value < 0.05 in the multivariable logistic regression were considered statistically significant. Texts, tables, graph were used to present the result. Result: The magnitude of failed induction of labor was 18%and it contributed to 45.1% of indications for cesarean section. advanced maternal age [AOR =5.52, 95% CI :(2.55,11.93)], primigravida [AOR=5.75, 95% CI: (2.61, 12.69)], unfavorable bishop score (<5) [AOR=6.16, 95% CI: (2.53, 14.1)], intermediate Bishop Scores (5-8) [AOR=2.862, 95% CI: (1.29, 6.37)], an intact membrane [AOR = 3.66, 95%CI (1.47,9.1)], time from start of induction to deliver more than twelve hours [AOR=7.29, 95% CI: (3.6, 14.76)] were significantly associated with failed induction of Labour. Conclusion: The magnitude failed induction of Labour was relatively high in the study area. Preparation of cervix before commencing induction, focus for advanced age and prim parity mothers, shortened the time from induction to delivery is recommended to improve induction success. Keywords: Labor induction, failed induction, Addis Ababa, Ethiopia.