PREVALENCE OF FAILED INDUCTION OF LABOUR AND SUBSEQUENT MANAGEMENT AT ST. PAUL HOSPITAL MILLENNIUM MEDICAL COLLEGE

Abstract

ABSTRACT Background: Induction of labor is a common medical practice in department of obstetrics and it’s meant to decrease the adverse outcome associated with waiting the spontaneous labor to start. It’s therefore, indicated in the most of the cases where benefits of terminating pregnancy outweigh those of continuing the pregnancy. Though there are some complications, among which failure of induction is one of them, which on the other hand subjects a pregnant mother to more traumatic option of delivery (C/S). Objective: To determine the prevalence of fail induction and associated risks at and subsequent management at SPHMMC between Dec 2017 to Feb 2018. Method: This study is a facility based cross-sectional descriptive study, which was conducted at SPHMMC, at obstetric department, in the Labor Ward. A sample size was determined using a single population formula and as a result, a total number of 212 mothers were included in this study. A systematic sampling technique was used to select participants. The checklist was used to extract data from Medical records of selected mothers, data were entered into SPSS version 20 and were analyzed. The results of analysis are represented in this paper in form of text, tables and graphs. Result: In this study the prevalence of failed induction was found to be 5.7% among 212 mothers who were selected from induced mothers at labor ward of SPHMMC in 3 months period, these failed induction of labor cases were all managed by C/S. vaginal delivery was successful in 122 mothers (57.5 percent). Conclusion: The prevalence of failed induction of labor is low compared to other studies done in the western setting as well as in Asian and other African countries. All the failed induction of labor cases were invariably managed by Cesarean section.