Fetal-Maternal Outcomes of Induction of Labour Among Women Delivered at Regional Referral Hospitals In Dar Es Salaam Tanzania
DOI:
https://doi.org/10.26437/ajar.31.10.2022.16Abstract
Purpose: Africa has a very low rate of induction of labour with high maternal and perinatal morbidity and mortality. However fetal-maternal outcomes following induction of labour are not well documented in Tanzania. This study aimed to assess fetal-maternal outcomes following induction of labour among women delivered at Dar es Salaam regional referral hospitals in Tanzania.
Design/methodology/Approach: A total of 301 expectant mothers were recruited in a prospective observational study conducted at all regional referral hospitals in Dar es Salaam, Tanzania. Data on fetal-maternal outcomes were collected using a pre-designed clinical sheet. Demographic data, obstetric history, methods as well as outcomes of labour induction were recorded. The continuous variables were summarized using the median and corresponding interquartile range. Categorical variables were summarized using frequency and proportions and the significance of differences were assessed using Chi-square at P<0.05.
Results: The leading methods for induction of labour were Oxytocin (48.5%) and a combination of Folley’s catheter with Oxytocin (28.4%). Induction of labour significantly improved fetal outcomes at birth P<0.05. Induction of labour associated with improved Apgar scores in newborn babies. Failure of induction of labour was the largest contributor to the increased Caesarean Section rate observed in this study.
Research limitation/Implication: This study has therefore explored the fetal-maternal outcomes following induction of labour in Tanzanian regional referral hospitals.
Practical implication: Induction of labour improves and minimizes neonatal complications in referral regional hospitals in Dar es Salaam.
Originality/Value: These findings fill a gap of information which was missing on the fetal-maternal outcomes following induction of labour among expectant mothers in Dar es Salaam regional referral hospitals.
References
Admani, R. (2014). Predictors Of Successful Induction Of Labour In Post-term Pregnancies At
Kenyatta National Hospital (Doctoral dissertation, University of Nairobi).
Bomba-Opoń, D., Drews, K., Huras, H., Laudański, P., Paszkowski, T., & Wielgoś, M. (2017).
Polish gynaecological society recommendations for labour induction. Ginekologia polska, 88(4), 224-234.
Bukola, F., Idi, N., M’Mimunya, M., Jean-Jose, W. M., Kidza, M., Isilda, N., ... & Metin, G.
(2012). Unmet need for induction of labour in Africa: secondary analysis from 2004-2005 WHO Global Maternal and Perinatal Health Survey (A cross-sectional survey). BMC public health, 12(1), 1-10.
Grobman, W. A. & Caughey, A. B. (2019) ‘Elective induction of labour at 39 weeks compared
with expectant management: a meta-analysis of cohort studies’, American Journal of Obstetrics and Gynecology, 221(4), pp. 304–310.
Hogan, M. C., Foreman, K. J., Naghavi, M., Ahn, S. Y., Wang, M., Makela, S. M., ... & Murray,
C. J. (2010). Maternal mortality for 181 countries, 1980–2008: a systematic analysis of progress towards Millennium Development Goal 5. The lancet, 375(9726), 1609-1623.
Kidanto, H. L., Kaguta, M. M. & van Roosmalen, J. (2007) ‘Induction of labour with
misoprostol or oxytocin in Tanzania’, International Journal of Gynecology and Obstetrics, 96(1), pp. 30–31.
Leduc, D., Biringer, A., Lee, L., Dy, J., Corbett, T., Duperron, L., ... & Senikas, V. (2013).
Induction of labour. Journal of Obstetrics and Gynaecology Canada, 35(9), 840-857.
Lueth, G. D., Kebede, A. & Medhanyie, A. A. (2020) ‘Prevalence, outcomes and associated
factors of labour induction among women delivered at public hospitals of MEKELLE town-(a hospital based cross sectional study)’, BMC Pregnancy and Childbirth, 20(1), pp. 1–10.
Middleton, P., Shepherd, E. & Crowther, C. A. (2018) ‘Induction of labour for improving birth
outcomes for women at or beyond term’, Cochrane Database of Systematic Reviews, 2018(5). doi: 10.1002/14651858.CD004945.pub4.
Mozurkewich, E. L., Chilimigras, J. L., Berman, D. R., Perni, U. C., Romero, V. C., King, V. J.,
& Keeton, K. L. (2011). Methods of induction of labour: a systematic review. BMC pregnancy and childbirth, 11(1), 1-19.
Vecchioli, E., Cordier, A. G., Chantry, A., Benachi, A., & Monier, I. (2020). Maternal and
neonatal outcomes associated with induction of labor after one previous cesarean delivery: A French retrospective study. Plos one, 15(8), e0237132.
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