Hiluf, Sara (2015) Assessment of Prevalence and Factors Affecting Success of Induction of Labour among Women Attended Induction in Army Referral and Teaching Hospital Addis Ababa Jun 2015. Masters thesis, Addis Ababa University.
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Abstract
Background: There are a number of complications of pregnancy that confer significant ongoing risk to the mother or fetus. For these conditions, induction of labor is as an artificial termination of pregnancy utilized to decrease both maternal and neonatal morbidity and mortality. The process of inducing labor is not always successful and sometimes fails to achieve a safe vaginal delivery. Objectives: The objective of the study is to assess the prevalence and factors associated with induction of labor success among laboring mother in Addis Ababa army hospital. Methods: Institution based retrospective cross-sectional study was conducted among 347 pregnant women undergone induction of labour from 2011-2013 in Addis Ababa referral army hospital. Using structured questionnaire. Three data collectors and one supervisor were trained and involved in data collection process. Data was entered and coded using Epiinfo and analysed using Statistical Package for Social Sciences (SPSS) version 21. Descriptive statistics were used to describe the study variables. Odds ratios (95% confidence intervals) was used to determine the association of different factors with success of induction of labour. Logistic regression analysis was used to assess the relative effect of determinants. A P<0.05 was considered statistically significant in all tests of significance. Result: A total of 347 women’s record reviewed, 207 (59.7%) of women who undergone induction had successful induction. Oxytocin IV infusion was the only method used for the purpose of induction. In addition PROM, 167(48.1%) and postdate, 122(35.2%) were found to be the two most common reasons for induction. After controlling for other factors while wo men of age ≤ 24 years, Bishop Score greater than 5 and Apgar score greater than or equal to 7 at first minute were significantly more likely to have successful induction of labor. Conclusion: Generally this study has disclosed three from five women who undergone induction had successful induction. The study also revealed that age of women, bishop score, Apgar score and fetal heart beat at the beginning of induction were significantly associated with success of induction of labor. Recommendation: The hospital should have quality assurance programs and induction policies, including safety tools such as checklists, to ensure that inductions are performed in the best possible quality.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | Induction of labor, failed induction of labor, Success of induction of labor, fetal heart rate non-reassuring |
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RT Nursing |
| Divisions: | Africana |
| Depositing User: | Emmanuel Ndorimana |
| Date Deposited: | 21 Jul 2018 11:02 |
| Last Modified: | 21 Jul 2018 11:02 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/7930 |
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