Outcome of induction and associated factors among induced laboring mother at Dessie Comprehensive specialized Hospital, Dessie, Ethiopia.

Abstract

Abstract Background Induction of labor refers to iatrogenic stimulation of uterine contractions before the onset of spontaneous labor to accomplish vaginal delivery. It is a common obstetric procedure performed during pregnancy and is thought to be associated with greater maternal or fetal risk. Although the induction of labor is commonly practiced, its outcomes and associated factors are rarely assessed in our settings. Therefore, this study aimed to fill this gap by studying the outcomes of labor induction and associated factors among women who delivered at the Dessie Compressive Specialized Hospital. Objective The objective of this study was to assess the outcome induction of labor and associated factors among induced laboring mothers at the Dessie Compressive Specialized Hospital from March 1, 2023 to June 30, 2023. Methods An institution-based cross-sectional study was conducted on 308 study participants from March 1, 2023 to June 30, 2023. Data were collected through daily patient interviews and chart reviews of the individual mothers for additional information. Study participants were recruited using a consecutive sampling method. Data were entered using Epi-Data Version 4.6 and analyzed using SPSS Version 25. A bivariate logistic regression model was used to identify factors affecting the outcome of labor induction. Variables with P-values less than 0.25 in the bivariate analysis were entered into the multivariate analysis. Odds ratios (ORs) with 95% confidence intervals (CI) were used to assess association strength. Statistical significance was set at P < 0.05. Results The results of the study revealed that, out of 308 total cases of labor induction, 232(75.32%; 95% CI = 70–80) of them achieved successful labor induction. A favorable Bishop Score (AOR = 16.46, 95% CI = 7.685–35.283), multigravida (AOR = 5.17, 95% CI = 2.293–11.657), rural resident (AOR = 3.0393, 95% CI = 1.270–7.5730), and ripening by misoprostol (AOR = 5.203, 95% CI = 1.834–14.763) were significantly associated with successful labor induction. Conclusion The proportion of successful induction of labor was moderate in the study area. Favorable Bishop Score, Multigravida, ripening by misoprostol, and rural residency are the main determinants. It may be necessary to conduct case-control or cohort studies to further investigate factors that increase the likelihood of failed induction.