Proportion Of Unfavorable Outcomes And Its Associated Factors Among Women Delivered By Induction Of Labor At Public Hospitals In West Shoa, Oromia, Ethiopia

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.