The Proportion of Failed Induction of Labour and Associated Factors among Women Undergoing Induction of Labour in Dessie Referral Hospital: Northeast Ethiopia a Cross-sectional Study

Abstract

Background:  There are several complications of pregnancy that confer significant ongoing risk to the mother or fetus. For these conditions, induction of labour is as an artificial termination of pregnancy utilized to decrease both maternal and neonatal morbidity and mortality. The process of inducing labour is not always successful and sometimes fails to achieve a safe vaginal delivery. Methods: Retrospective cross-sectional study was conducted on medical records of 319 registered women who undergo labour induction at Dessie referral hospital from January 01 to February 2017.  Systematic sampling techniques were used to select the samples. The data was cleaned, edited, coded, and entered into EPI INFO version 3.5 and exported and analyzed by SPSS with windows version 20.0. Bivariate and multivariate logistic regression statistical model was used to identify factors associated with the outcome variable. Adjusted odds ratio with 95% CI was computed to see the strength of association. Results: The proportion of failed induction of labour was 19.7 %. Multivariable logistic regression analysis showed that women live in a rural area [4.171(1.358-12.807)], primipara [AOR=1.72(1.67-4.415)] and women whose Bishop score is unfavourable [0.147(0.066-0.327)] were significantly associated with failed induction of labour. Conclusion: The proportion of failed induction of labour was relatively high in the study area. Variables which increased the likelihood of failed induction were living rural area, primigravidity and unfavourable bishop score before induction of labour.