MAGNITUDE AND FACTORS AFFECTING SUCCESS OF INDUCTION OF LABOR AMONG WOMEN UNDERGONE INDUCTION AT PUBLIC

Abstract

Background: Induction of labor (IOL) common intervention in modern obstetrics aimed at improving maternal and neonatal health. However,areas with high maternal mortality and morbidity, such as Ethiopia,often lack access to comprehensive emergency obstetric care, making it essential to understand the outcomes following IOL. While IOL can reduce maternal mortality, there is limited knowledge about its success rates and the factors influencing them in this context. Therefore, the purpose of this study is to assess the current magnitude and factors affecting the success of induction of labor in the study area. Objectives: This study aims to assess the magnitude and factors affecting the success of induction of labor among women in public hospitals in the Wolaita zone, southern Ethiopia, in 2024. Methods: An institution-based cross-sectional study was conducted among 407 participants from April 1st to June 30th, 2024. All women who underwent IOL at selected public hospitals in Wolaita zone during the study period were included in the study. A pre-tested and structured questionnaire was used to collect data. Data were entered in to Epi Data Version 4.7 and exported to the statistical package for Social Science version 25 for data cleaning and analysis. Both bivariable and multivariable logistic regression analyses were used to identify factors affecting the success of the IOL, with odds ratio and 95% confidence interval calculated to measure the strength of the associations. A p-value of < 0.05 indicated statistical significant. Result: The study revealed a success rate of IOL at 66.4% (95% CI: 62.40,70.65). Factors significantly affecting success included a favorable bishop score [AOR: 7.68, 95% CI: 3.04, 12.28], Membrane ruptured before induction [AOR: 6.17, 95% CI: 2.36, 16.17], Parity being multipara [AOR: 0.49, 95% CI: 0.18, 0.83], Cervical repining [AOR: 3.56, 95% CI: 1.26, 10.00], Fetal heart rate patterns [AOR: 0.22, 95% CI: 0.02, 0.67] and Amniotic fluid change to meconim [AOR: 0.83, 95% CI: 0.49, 1.37]. Conclusion and Recommendation: The success rate of IOL in this study was lower as compared to other studies. Factors such as Parity, Bishop Score, Cervical repining, and Membrane ruptured before induction significantly affecting the outecome. It is recommended that hospitals implement standardized bishop scoring systems and encourage the availability of facilities for evaluating the health of mothers and fetuses and Further prospective research is needed to address factors related to healthcare providers and health facilities.