Failed induction of labor and associated factors among women delivered in Jigjiga University Sheik Hassan Yabare Referral Hospital: a cross-sectional study

Abstract

Objective

This study was aimed to assess the magnitude of failed induction of labor and associated factors among mothers delivered in Eastern Ethiopia.

Methods

An institutional-based cross-sectional study was carried out among 364 women who had induction of labor at Jigjiga University, Sheik Hassan Yabare Referral Hospital from 2018 to 2021. A checklist was used to collect the data from the women's chart. To isolate independent predictors related to failed induction of labor, multivariate logistic regression analyses were performed.

Result

The magnitude of failed induction of labor was 36.8% (95% CI: 31.8, 42.0). Age (AOR = 3.2; CI: 1.78, 5.75), rural residency (AOR = 2.28; CI:1.29, 4.01), para (AOR = 2.76; CI: 1.55, 4.91), gestational age (AOR = 2.65; CI: 1.44, 4.89), multiple pregnancy (AOR = 2.36; CI: 1.01, 5.55), premature rapture of membrane (AOR = 4.88; CI: 2.33, 10.21), pregnancy-induced hypertension (AOR = 5.11; CI: 2.67, 9.79), and bishop score (AOR = 1.95; CI: 1.15, 3.32) were significantly associated with failed induction of labor.

Conclusion

The magnitude of failed induction of labor was relatively high in the study setting. Failed induction of labor was significantly associated with age, rural residency, primipara, gestational age, multiple pregnancy, premature rapture of membrane, PIH, and bishop score less than six. Prior to initiating the induction of labor, proper pelvis assessment and cervical ripening for bishop score might be considered. Beside to this, adherence to locally available induction protocols and guidelines might also be needed.

Keywords:

• Magnitude
• associated factors
• failed induction of labor
• Ethiopia

Correction Statement

This article has been corrected with minor changes. These changes do not impact the academic content of the article.

Transparency

Declaration of funding

This paper was not funded.

Declaration of financial/other relationships

The authors have no relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties. Peer reviewers on this manuscript have no relevant financial or other relationships to disclose.

Author contributions

AM, DGA, EDZ, NM, TB, AA, AS, DM, RT, WS, YB, MDM, AW, GMA, BD, RHK, AA, MAE, AAM, TT, SA, TW, MLF, ZF, ACE, and WM designed and conceived the study, developed the tool, coordinated the data collection, and carried out the statistical analysis, and drafted the manuscript. All authors read and approved the final manuscript.

Acknowledgements

The authors express their gratitude to Jigjiga University, Sheik Hassan Yabarre Hospital, Gynecology and Obstetrics Department, Medical Director, and other stuffs for their relevant technical support.

Data availability statement

All data included in this manuscript can be accessed from the corresponding author upon request through the email address.