{"title":"尼日利亚一家三级医院引产的产科结果:一项五年回顾性横断面研究","authors":"Harrison Chiro Ugwuoroko, George Uchenna Eleje, Chigozie Geoffrey Okafor, Zebulon Chiawolamoke Okechukwu, Ahizechukwu Chigoziem Eke, Chukwuemeka Chukwubuikem Okoro, Lazarus Ugochukwu Okafor, Chidinma Charity Okafor, Chukwudi Anthony Ogabido, Tobechi Kingsley Njoku, Chukwudubem Chinagorom Onyejiaka, Adanna Vivian Egwim, Hillary Ikechukwu Obiagwu, JohnBosco Emmanuel Mamah, Chinedu Lawrence Olisa, Nnanyerugo Livinus Onah, Gerald Okanandu Udigwe","doi":"10.23958/ijirms/vol08-i07/1706","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Objective: </strong>To determine the obstetric outcomes of induction of labour.</p><p><strong>Methods: </strong>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.</p><p><strong>Result: </strong>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.</p><p><strong>Conclusion: </strong>Induction of labour is a safe and beneficial procedure in obstetrics. However, it can be associated with adverse obstetric outcomes.</p>","PeriodicalId":46929,"journal":{"name":"SOUTH AFRICAN JOURNAL OF ECONOMICS","volume":"17 1","pages":"235-240"},"PeriodicalIF":1.6000,"publicationDate":"2023-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10659585/pdf/","citationCount":"0","resultStr":"{\"title\":\"Obstetric Outcome of Induction of Labour in a Tertiary Hospital in Nigeria: A Five-Year Retrospective Cross-Sectional Study.\",\"authors\":\"Harrison Chiro Ugwuoroko, George Uchenna Eleje, Chigozie Geoffrey Okafor, Zebulon Chiawolamoke Okechukwu, Ahizechukwu Chigoziem Eke, Chukwuemeka Chukwubuikem Okoro, Lazarus Ugochukwu Okafor, Chidinma Charity Okafor, Chukwudi Anthony Ogabido, Tobechi Kingsley Njoku, Chukwudubem Chinagorom Onyejiaka, Adanna Vivian Egwim, Hillary Ikechukwu Obiagwu, JohnBosco Emmanuel Mamah, Chinedu Lawrence Olisa, Nnanyerugo Livinus Onah, Gerald Okanandu Udigwe\",\"doi\":\"10.23958/ijirms/vol08-i07/1706\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>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.</p><p><strong>Objective: </strong>To determine the obstetric outcomes of induction of labour.</p><p><strong>Methods: </strong>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.</p><p><strong>Result: </strong>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.</p><p><strong>Conclusion: </strong>Induction of labour is a safe and beneficial procedure in obstetrics. However, it can be associated with adverse obstetric outcomes.</p>\",\"PeriodicalId\":46929,\"journal\":{\"name\":\"SOUTH AFRICAN JOURNAL OF ECONOMICS\",\"volume\":\"17 1\",\"pages\":\"235-240\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2023-07-08\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10659585/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"SOUTH AFRICAN JOURNAL OF ECONOMICS\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.23958/ijirms/vol08-i07/1706\",\"RegionNum\":4,\"RegionCategory\":\"经济学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/7/6 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"ECONOMICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"SOUTH AFRICAN JOURNAL OF ECONOMICS","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.23958/ijirms/vol08-i07/1706","RegionNum":4,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/7/6 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"ECONOMICS","Score":null,"Total":0}
Obstetric Outcome of Induction of Labour in a Tertiary Hospital in Nigeria: A Five-Year Retrospective Cross-Sectional Study.
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.
期刊介绍：
The South African Journal of Economics (SAJE) has a long and distinguished history, ranking amongst the oldest generalist journals in economics. In terms of editorial focus, the journal remains a generalist journal covering all fields in economics, but with a particular focus on developmental and African contexts. Toward this end, the editorial policy of the SAJE emphasizes scholarly work on developing countries, with African and Southern African development challenges receiving particular attention. While the SAJE remains a generalist journal, it encourages empirical work on developing and African economies. Importantly the focus is on both theoretical developments and methodological innovations that reflect developing country and African contexts and the policy challenges they pose. The objective of the journal is to be the premier vehicle for the publication of the most innovative work on development country and particularly African economic problems. It aims to be the target journal of choice not only for scholars located in Southern Africa, but of any scholar interested in the analysis of development challenges and their African applications. Clear theoretical foundations to work published should be a hallmark of the journal, and innovation in both theory and empirics appropriate to developing country and the African contexts are encouraged. In terms of submissions, the journal invites submissions primarily of original research articles, as well as survey articles and book reviews relevant to its context. In the case of both survey articles and book reviews, authors should note that a key minimum requirement is a critical reflection on the broader context of the existing literature.
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