Publications

Labour induction is one of the most common obstetric interventions. According to mostcurrent studies, the rate varies from 9-33% of all pregnancies annually. According toAmerican Congress of Obstetricians and Gynecologists, one-fifth of all pregnancies areterminated with the induction method. The aim of induction is to prevent maternal and fetaldisorders such as preeclampsia, premature rupture of membranes, intrauterine growthretardation and prolonged pregnancy. Since the purpose of induction is vaginal delivery, anumber of authors consider successful induction as vaginal delivery without regarding tothe time limits. Induction failure is defined as failure of induction leading to cesareansection. The aim of this study was to determine the relationship between induction and riskof cesarean section delivery for women with term pregnancies who were admitted to MbararaRegional Referral Hospital. A hospital based retrospective cohort study was conducted usingmaternally-linked data from MRRH birth registry. The study was restricted to deliveriesintervened by labor induction at Mbarara Regional Referral Hospital during the year 2019 to2021. Study samples size were 180 cases using convenience sampling among eligiblepregnant women admitted to MRRH for induction. Data analysis was performed using SPSSversion 21. Chi-square and t-test were used to compare groups with significant levels of lessthan 0.05, and logistic regression test was used to determine odds ratio with 95% confidencelevel. The mean age of those who underwent induction were 26.7 ± 5.6 years. In terms ofeducation, 63.3 % were at the elementary level, the majorities (94.6%) were housewives orunemployed prior to delivery, and 57.4% were nulliparous. The prevalence of cesareansection was 22.21%. The mean gestational age was 39.3 ± 2.6 weeks and post-termpregnancies (40.63%), and PROM (24.12%) were among the most common causes forinduction. Dilatation and birth weight were factors predicting labour induction success.Furthermore, performing Induction in dilatation 3 cm or less was associated with anincreased risk of cesarean delivery. The prevalence of caesarean section after induction oflabour in this study was 22.1%. Cervical dilatation (3 cm or less) prior to induction andincreasing birth weight could be the major factors leading to caesarean section, hencepredicting labor induction success. More funding is necessary by the hospital to further give more light to the all-time prevalence of cesarean section following labor induction within MRRH