Abstract:
Background: Induction of labor is potentially life-saving procedure performed following an
appropriate medical and obstetrical indication. It ended up with failed for the reason of many
factors. In Ethiopia the magnitude of failed induction of labour was high well known according
to different study in and thus, this study intended to assess the magnitude and factors with failed
induction of labour in study area.
Methods: Cross-sectional study design was conducted among 364 induced mothers in Public
Hospitals of West Shoa Zone from August 25, 2021 to October 26, 2021.. A systematic random
sampling technique was employed to select induced women‟s. Data was collected by pre-tested
structured interviewer-administered questionnaire and reviewing patient cards by trained data
collectors. Data were coded and entered in to EPI Info 7.2.2 version and then exported to SPSS
version 26.0 for analysis. Descriptive analysis was carried out for indicated variables. Bivariable
and multivariable logistic regression analysis was carried out to identify significant predictors of
the outcome variable. Adjusted Odds Ratio with its 95% CI was used to see the strength of
association and P-values <0.05 were used to declare statistical significance.
Result: In this study, the magnitude of failed induction of labor was found to be 20.9 %(
95%CI: 16.8-25.1). Newborns birth weight of ≥4000gm [AOR= 1.9, (95% CI (1.099-13.178)],
having Bishop Score of <6 [AOR =1.2, 95% CI (3.642-8. 268)], being induced by oxytocin only
[(AOR: [2.5, (95% CI (1.171 -5.933)], Parity of 1-2 [AOR= 2.49, (95% CI (1.257-6.950)] and
Parity of 3-4 [AOR= 2.417, (95% CI (3.207-7.839)] were identified as having significant
association with failed induction of labour at p-value of <0.05.
Conclusion and recommendation: In this study, the magnitude of failed induction of labor was
relatively high. Newborn birth weight, bishop‟s score, method of induction and parity were
identified as having significant association with an outcome variable. Therefore, nutrition
education, timing and the methods used for the induction of labour has to be provided according
to the national protocol at all service provision settings
