Lueth G.D., Kebede A., Medhanyie A.A.,

Abstract

Background: Induction of labor refers to iatrogenic stimulation of uterine contractions before the onset of
spontaneous labor as a therapeutic option when benefits of expeditious delivery outweigh the risks of continuing
the pregnancy. This research was to study the prevalence, outcomes and associated factors of labor induction
among women delivered at Ayder comprehensive specialized hospital and Mekelle general hospital in Mekelle
town, Tigray, North Ethiopia.

Methods: A hospital based cross sectional study was conducted on 346 laboring mothers who delivered after
induction of labor, from January 1st, to July 31st, 2017. Using structured questionnaire and quota sampling
techniques, all eligible participants were immediately enrolled upon admission until the desired sample size was
achieved. SPSS windows version 23.0 was used for analysis and both descriptive and inferential statistics were
conducted; statistical significance to declare relationship between the dependent and independent variables was
set at p < 0.05.

Results: Total of 3834 women delivered at the study area out of which 346 were induced making (9%) prevalence
of induction. Out of this, 244 (70.5%) delivered vaginally, 19 (5.5%) were instrumental deliveries and 83 (24%) by
Cesarean section, induction was successful in 263 (76%) while the failure rate was 25 (7.2%).
All who failed induction (25) were delivered by cesarean section making a 3.3% contribution of failed induction into
the overall rate of the institutions cesarean deliveries during the study period.
Prolonged rupture of membranes was the commonest indication and Bishop’s score after cervical ripening
significantly predicted the success of induction [AOR = 8.150, 95% CI = (1.265, 52.526)].

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