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Obstetrics and Gynecology International
Volume 2014, Article ID 419621, 5 pages
http://dx.doi.org/10.1155/2014/419621
Research Article

Obstetric Outcome and Significance of Labour Induction in a Health Resource Poor Setting

1Department of Obstetrics & Gynecology, Catholic Maternity Hospital, PMB 104, Moniaya, Ogoja, Cross-Rivers State, Nigeria
2Department of Obstetrics & Gynecology, Federal Teaching Hospital, PMB 102, Abakaliki, Ebonyi State, Nigeria
3Department of Obstetrics & Gynecology, University of Nigeria Teaching Hospital, PMB 01129, Enugu State, Enugu 400001, Nigeria
4Department of Obstetrics & Gynecology, Dalhatu Araf Specialist Hospital, PMB 007, Lafia, Nasarawa State, Nigeria

Received 22 July 2013; Revised 24 November 2013; Accepted 16 December 2013; Published 20 January 2014

Academic Editor: Gian Carlo Di Renzo

Copyright © 2014 Osaheni Lucky Lawani et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives. The aim of this study was to evaluate the methods, indications, outcome of induced labor and its significance in obstetric practice in the study area. Methods. This was a retrospective study of cases of induced labor at the Catholic Maternity Hospital in Ogoja, Cross-River State, Nigeria, between January 1, 2002, and December 31, 2011. Data on the sociodemographic characteristics of the parturient, induction methods, indications for induction, outcomes and reasons for failed induction were abstracted from personal case files and the hospital’s maternity/delivery register. The data were analyzed with SPSS15.0 window version. Result. The induction rate in this study was 11.5%. Induction was successful in 75.9% of cases but failed in 24.1%. Misoprostol was the commonest induction method (78.2%). The commonest indication for induction was postdate pregnancy (45.8%). Failed induction was due to fetal distress, prolonged labor, cephalopelvic disproportion and cord prolapse. The induction-delivery interval was  hours. Conclusion. Induction of labor is a common obstetric procedure which is safe and beneficial in well-selected and properly monitored high risk pregnancies where the benefits of early delivery outweigh the risk of continuing the pregnancy.