Abstract:
Background: The procedure of artificially starting labor to achieve a vaginal birth is known as
induction of labor. Induction of labor is utilized as an artificial termination of pregnancy and
plays a crucial role in decreasing both maternal and neonatal morbidity and mortality. The
unfavorable outcomes of induction of labor are often not studied in public hospital in west Shoa
zone and its contributing components lack sufficient information. Therefore, this research aimed
to fill this gap.
Objective: to assess proportion of unfavorable outcomes and its associated factors among
Women who were delivered by induction of labor at public hospitals in West Shoa Zone,
Ethiopia, 2022.
Methods: A facility-based cross-sectional study design was employed from September 30th to
November 30th, 2022. By using consecutive sampling approaches, 385 women who underwent
induction were included in West Shoa zone, public hospitals. Structured questioners for face to
face interview and check list for chart reviews about induction process tools were used. The
collected data were coded, entered into Epi-Data version 3.1 and then exported to the statistical
package for social science version 20 for analysis. Frequency, proportions and measures of
central tendency were used to describe variables. Bivariable and Multivariable binary logistic
regression were used to test associations between outcome variable and independent variables.
Variables with P value< 0.25 on the bivariable model had taken to the multivariable model.
Hosmer and Lemeshow test of model fitness test was 0.725. Adjusted odds ratio, along with a
95% confidence interval, was used to estimate the strength of the association. P values < 0.05
were considered statistical significance in the multivariable analysis.
Results: Of the 385 induced labors included in the study, 163 (42.3%) [95% CI (37.7, 47.3)] had
unfavorable outcomes. Age >24 years old [AOR= 1.77, 95% CI (1.04,2.99)], residence [AOR= 4.34,95%
CI (2.69, 7.05)], nulliparous [AOR = 4.34, 95% CI (1.63, 11.55)], time of start of induction of labor till
delivery [AOR = 0.48, 95% CI ,(0.25, 0.91)] and new born weight [AOR= 0.24, 95% CI (0.08, 0.64)]
were statistically significant associated with unfavorable outcomes of induction of labor.
Conclusion and recommendation: The magnitude of unfavorable outcomes of induction of labor was
relatively high. Age, residence, parity, time from start of induction of labor till deliveries and new born
weight were statistically significantly associated with unfavorable outcomes. Further work and taking
attention is needed to reduce unfavorable outcomes induction labor.
