PREVALENCE AND OBESTETRIC FACTORS AFFECTING THE SUCCESS OF INDUCTION OF LABOR AMONG WOMEN WHO ATTENDED INDUCTION AT ST. PAUL’S HOSPITAL MILLENNIUM MEDICAL COLLEGE: A RETROSPECTIVE STUDY FROM APRIL 1ST TO JUNE 30, 2016.

Abstract

ABSTRACT Background:Induction of labor is the artificial stimulation of uterine contractions before the spontaneous onset of true labor at28 or more weeks of gestation to achieve vaginal delivery. [17]Induction of labor is a lifesaving intervention aimed at preventing fetal and or maternal jeopardy which may arise in some conditions where further prolongation of pregnancy has become life threatening. [1] Objectives: This study aims to assess the prevalence and factors affecting success of induction of laboramong women who attended induction at St. Paul’s Hospital Millennium Medical College. Methods: The study is an institution based retrospective cross sectional research. SPSS version 20.0 was used for analysis. And binary and multivariate regression was used to identify the association between success of induction and its factors. Result: Among the 398 women, 57.8 % of them undergone successful induction of labor while the rest 42.2 % of them have failed induction which means they failed to give birth vaginally and undergone cesarean section. The affecting factors are gestational age of the fetus at the time of induction, rupture of membrane before the induction, total intravenous oxytocin use, uterine hyper stimulation, non-reassuring fetal heart rate pattern, staining of the liquor with meconium, diastolic blood pressure after induction, time interval between start of labor and delivery, and indication of induction. Conclusion: Generally, this study has shown that the prevalence of successful induction at SPHMMC was 57.8 %. Recommendation:This study recommends the hospital to develop clear induction policy. In addition to this, full documentation of charts is recommended. Key words: Induction, successful induction of labor, failed induction of labor, cesarean section