Magnitude Of Failed Induction Of Labour And Associated Factors Among Mothers Who Were Gave Birth At Ambo Public Hospitals Ambo Town, Oromia, Ethiopia

Abstract

Back ground: Induction of labor is a process of initiating of labor which primarily employed when the benefits of delivery outweigh the risks of continuing the pregnancy. It is artificially induced by using: uterine stimulation with oxytocin, cervical ripening agents, or artificial rupture of membranes. Over the past decade the rate of induction of labor increased from 10 to 20%. Moreover in some institution it is raise up to 40%. Objective: To assess magnitude of failed induction of labor and factors associated with failed induction at Ambo town Public Hospitals, Oromia, Ethiopia, 2022. Method: Institutional based cross sectional study was employed to assess magnitude of failed induction of labor among mothers who were gave birth at Ambo town Public Hospitals, Oromia, Ethiopia from September 01 to Octover 01 2022.simple random sampling was employed to extracts 302 client charts for the study by pre-determined checklist from registration book. Data was entered to Epi info version 7.2 and analyzed by SPSS version 20.0. Descriptive statistics was done and the result presented with tables based on the nature of the variables. Bivariable and multivariable logistic regression were computed .The candidate variables with p-value<0.25 in the bivariable analysis were moved to multivariable analysis to identify their significance with dependent variables and independent variables with p-Value < 0.05 and 95% confidence interval were taken as independent factors associated with failed induction of labor. Result: Out of 308 charts planned, 302 charts were reviewed making its respondent rate 98%. The result of the study revealed that out of the total numbers of mothers who was induced 87(28.8%) of them had failed induction of labour. The study also found out that Parity, gestational age and ANC Follow up have significant association with failed induction of labour with AOR of 3.38, 11.04 and 0.016 respectively. Furthermore, methods of induction by only oxytocin have 5.95 times (AOR 5.95, CI: 1.35, 26.22) chance of being failed induction. Conclusion: the magnitude of failed induction of labour in Ambo town public hospital was relatively high. Recommendation: ministry of health and the hospital should give greater emphasis for improving the induction of labour service.