Abstract:
Background; Induction of labor is a process of artificial initiation of uterine contractions
after the age of fetal viability and before spontaneous onset of labor, with the aim of achieving
cervical effacement and dilatation leading to vaginal delivery. But it is not always successful
to achieve vaginal delivery due to several factors.
Objective; the aim of this study was to assess prevalence and factor associated with success of
labor induction among mothers delivered in Debre Berhan comprehensive specialized hospital
Methods; Institution based retrospective cross-sectional study was employed among 405
documents of women who undergone induction of labor from January 2018 to December 2019
in Debre Berhan comprehensive specialized hospital by using structured checklists. Five BSc
midwives collected the data. Data was entered and coded by using Epi data version 3.1, and
analyses were done by SPSS version 22. Descriptive statistics was used to describe the study
variables. An odds ratio (95% confidence intervals) binary and multiple logistic analyses were
used to determine the association of different factors with success of induction of labor. P <
0.05 was considered statistically significant in multivariate regression analysis.
Result; A total of 405 women’s document reviewed, 267(65.9%), [95%CI: 61.7-70.4] of
women who undergone induction of labor had successful induction. The most common
indication for induction was premature rupture of membrane (48.1%). the study also found
that multigravida women’s and diastolic blood pressure less than 90 mmhg were 2.4 times
more likely to have successful induction with AOR of 2.47 (95%CI:1.35-3.05) and 2.08
(95%CI:1.12-3.86) respectively.
Conclusion; Generally this study implies two out of three women’s who undergone induction
of labor had successful induction. Diastolic blood pressure and number of pregnancies were
significant association to the success of induction.
Recommendation; the hospital should set clear bishop score systems on the induction chart.
In addition it should have a follow-up and evaluation on the assessment and documentation of
bishop score.
