OUTCOME OF lABOR iNDUCTION AND IT’S ASSOCIATED FACTOR AMONG lABORING WOMEN AT DILCHORA REFERRAL HOSPITAL, DIRE DAWA, EASTERN ETHIOPIA

Abstract

Induction of labor has a great role to prevent neonatal and maternal mortality and morbidity. Despite its role Induction sometimes fails with a potential risk of increasing maternal and neonatal mortality and morbidity. In Dire Dawa, there was no study done on outcomes of labor inductions. Therefore, this study is planned to fill this gap by studying the outcome of labor induction and associated factors among women who had delivered at Dilchora referral hospital in Dire Dawa, East Ethiopia. Objective: To determine the outcome of labor induction and associated factors among women who had delivered at Dilchora referral hospital Dire Dawa East Ethiopia, May 15 to June 1, 2020. Methods: Hospital-based retrospective cross-sectional study (July 8, 2014 up to July 08, 2019) was employed by using a pre-tested structured questionnaire to collect data from a sample of 444 charts using a systematic random sampling method by trained data collectors. First, bi-variate analysis was done to select variables for multivariate analysis and those variables with p-value 0.25 or less interred into multivariate analysis. In multivariable analysis, those variables with p-value <0.05 are considered as significantly associated. The model adequacy was checked by using the Hosmer and Lemeshow goodness of fit test. Result:. The result of the study reveled Post-Term mother [(AOR: 0.49 (0.25-0.98.The mother whose labor is induced by misoprostol [(AOR: 2.5 (1.08-5.94] the mother whose labor is induced by both (oxytocin and misoprostol) [(AOR: 0.33 (0.13-0.86)] and non-reassuring fetal heart rate pattern [(AOR: 0.10(0.03-0.30)] were significantly associated with success of induction. Conclusion: The prevalence rate of success of labor induction was found (83.6%). And the most common indications for labor inductions were PROM and Post term. Furthermore, the study described that the most common method of induction in Dilchora referral Hospital is iv oxytocin and the minister of health should develop national evidence-based clinical practice guidelines for labour of induction and enforce its implementation.