دورية أكاديمية
Obstetric Outcome of Induction of Labour in a Tertiary Hospital in Nigeria: A Five-Year Retrospective Cross-Sectional Study.
| العنوان: | Obstetric Outcome of Induction of Labour in a Tertiary Hospital in Nigeria: A Five-Year Retrospective Cross-Sectional Study. |
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| المؤلفون: | Ugwuoroko HC; Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria., Eleje GU; Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria.; Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Awka, Anambra State, Nigeria., Okafor CG; Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria., Okechukwu ZC; Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria., Eke AC; Division of Maternal and Fetal Medicine, Department of Gynaecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, USA., Okoro CC; Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria., Okafor LU; Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria., Okafor CC; Department of Psychiatry, Leicestershire Partnership NHS Trust, Leicester, United Kingdom., Ogabido CA; Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria.; Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Awka, Anambra State, Nigeria., Njoku TK; Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria., Onyejiaka CC; Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria., Egwim AV; Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria., Obiagwu HI; Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria., Mamah JE; Department of Obstetrics and Gynaecology, Alex Ekwueme Federal University Teaching Hospital, Abakiliki, Nigeria., Olisa CL; Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria., Onah NL; Department of Obstetrics and Gynaecology, Enugu State Teaching Hospital Parklane, Enugu State, Nigeria., Udigwe GO; Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria.; Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Awka, Anambra State, Nigeria. |
| المصدر: | International journal of innovative research in medical science [Int J Innov Res Med Sci] 2023 Jul 08; Vol. 8 (7), pp. 235-240. Date of Electronic Publication: 2023 Jul 06. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: International Journal of Innovative Research in Medical Science Country of Publication: India NLM ID: 101731694 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2455-8737 (Electronic) Linking ISSN: 24558737 NLM ISO Abbreviation: Int J Innov Res Med Sci Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Mandasaur : International Journal of Innovative Research in Medical Science |
| مستخلص: | Background: Induction of labour has remained one of the most valuable interventions in obstetric practice. Over the years, the proportion of women undergoing induction of labour (IOL) has been on a steady increase. The significance to obstetrics practice as well as its maternal and perinatal outcomes are sacrosanct, hence the need for its periodic review. Objective: To determine the obstetric outcomes of induction of labour. Methods: A five-year retrospective study of all cases of induction of labour at the maternity unit of Nnamdi Azikiwe University Teaching Hospital (NAUTH), Nnewi, Nigeria between January 1st 2017 and 31st December 2021. The labour ward's records were assessed to determine the total number of women who had induction of labour during the study period. Women whose case files could be not retrieved were excluded. The folder numbers of the patients were extracted and their case files retrieved from the medical records department of the hospital. The primary outcomes measures were the indications and the methods of induction of labour, while the secondary outcome measures were the mode of delivery, cause of failed induction, and the perinatal outcome. Data were obtained using proformas and analysed using statistical packages for social sciences (SPSS) version 26.0 IBM corporation. Result: A total of 3,638 deliveries were taken during the period under review and 168 patients had induction of labour giving an overall prevalence of 4.6% (46/1000 deliveries). Induction of labour was successful in 71.2% of cases. Misoprostol was used in 90.4% of cases as an induction agent. The commonest indication for induction of labour was postdate pregnancy (53.8%). Failed induction was due to fetal distress, poor progress of labour from cephalopelvic disproportion/malposition and failed cervical ripening. In about 72% of deliveries, there was good perinatal outcome, 10.3% of babies had moderate to severe asphyxia while 1.3% had neonatal death. Conclusion: Induction of labour is a safe and beneficial procedure in obstetrics. However, it can be associated with adverse obstetric outcomes. Competing Interests: Declaration of conflicting interest The authors declare no conflict of interest. |
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| معلومات مُعتمدة: | K23 HD104517 United States HD NICHD NIH HHS |
| تواريخ الأحداث: | Date Created: 20231121 Latest Revision: 20231122 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC10659585 |
| DOI: | 10.23958/ijirms/vol08-i07/1706 |
| PMID: | 37987020 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2455-8737 |
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| DOI: | 10.23958/ijirms/vol08-i07/1706 |