Magnitude Of Failed Induction Of Labour And Its Associated Factors Among Women Who Had Undergone Induction Of Labour In Public Hospitals Of West Shoa Zone, Ethiopia, 2021

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