Outcomes of Labor in Women Undergoing Induction of Labor and Plan of Nursing Action

Abo Al, Zienab Fathi Mohamed Abo Al

doi:10.21608/pssjn.2017.33072

Outcomes of Labor in Women Undergoing Induction of Labor and Plan of Nursing Action

Author

Zienab Fathi Mohamed Abo Al Abo Al

Maternal, Obstetrics and Gynecology Nursing - Faculty of Nursing - Port Said University

10.21608/pssjn.2017.33072

Abstract

Background: Induction of labor refers to the iatrogenic stimulation of uterine contractions after the age of viability and before spontaneous onset of labor for accomplishing vaginal delivery. The Aim of this Study was to identify the outcomes of labor among women undergoing labor induction and plan of nursing action . Study Design: A prospective observational was used in labor ward at Maternity Department of Mansoura University Hospital and Dikirniss Hospital.: a purposive sample of 234 parturient women who received induction of labor. Data Collection Four toolswere used; a structured interviewing schedule, maternal and neonatal assessment sheet, partograph, and Bishops score. Results: present study revealed that incidence of Induction of labor was 11.7%. Almost three fifth of women (57.7%) had successful induction of labor, while 42% underwent cesarean. The most common indication for Indication of labor (IOL) was; premature rupture of membrane (49.5%) as for the BMI, over weight and obese women were more likely to underwent failed labor induction (67.7%, 27.3% vs. 66.7%, 24.4% respectively). Eighty five points nine present of neonatal had no complications, while 6.7% of neonates had asphyxia. Apgar score at the first and fifth minutes was within the normal level. It can be concluded that, successful induction outcome was more likely with gestational age between 37 weeks to less than 40 weeks. Case selection for IOL is vital for achieving outcomes similar to spontaneous labor.Recommendation, monitoring of the woman and her fetus closely undergoing labor induction once labor is established by labor induction is imperative.

Keywords

References

Abdel-Aleem H. (2011): Misoprostol for cervical ripening and induction of labor: RHL commentary. The WHO Reproductive Health Library; Geneva: World Health Organization. Available at: http://apps.who.int/rhl/pregnancy_childbirth/induction/ CD000941_abdel-aleemh_com/en/. Last accessed was at 21/4/2014.

ACOG (2003): Practice Bulletin Number49, December Dystocia and augmentation of labor obstet Gynecal; 102:1445.

Adair CD. (2000): Non-pharmacologic approaches to cervical priming and labor induction. clin obstet Gynecol ; 43:447-454 .

Ade-Ojo IP., Kuti O., Loto OM. and Ogunniyi SO. (2011): A prospective comparison of the 30- minute and 60- minute oxytocin dose incremental schedules for induction of labor at term. Nepal Journal of Obstetrics & Gynecology; 6(1): 35-40.

Agency for Healthcare Research and Quality's (2009): Maternal and neonatal outcomes of elective induction of Labor: A Systematic review and cost-effectiveness analysis. Available at: www.effectivehealthcare.ahrq.gov. Last accessed was at: 8/3/2014.

Alfirevic Z., Kelly A. and Dowswell T. (2009): Intravenous oxytocin alone for cervical ripening and induction of labor. Cochrane Database Syst Rev; 7(4):CD003246. doi: 10.1002/14651858. CD003246.pub2.

Alfonsi and Sharyn (2006): Labor induction drug under fine CBS Evening News.

Allen VM., O'Connell EM. and Baskett TF. (2006): Maternal association of indication of induction labor at term obstet Gynecol 108 ( 2 ) :286 – 94

Alliance U., Keith R. and Sullivan. (2001): Pharmaceuticals Syntocinon. Summary of product characteristics.

Al-Shaikh GK., Wahabi HA., Fayed AA., Esmaeil SA. and Al-Malki GA. (2012): Factors associated with successful induction of labor. Saudi Med J; 33(3): 298-303.

Arrowsmith S., Wray S. and Quenby S. (2011): Maternal obesity and labor complications following induction of labor in prolonged pregnancy. BJOG 2011; 118:578-588

Bodner-Adler B., Bodner K. and Patelsky N. (2005): Influence of labor induction on obstetric outcomes in patients with prolonged pregnancy: a comparison between elective labor induction and spontaneous onset of labor beyond term. J Obstet & Gynecol; 117(7-8):287-294

Bukola F., Nafiou ID., M’Mimunya M., Wolomby M. and Mugerwa A. (2012): Unmet need for induction of labor in Africa: secondary analysis from the 2004 - 2005 WHO Global Maternal and Perinatal Health Survey A cross-sectional survey. Open access journal; 12(722): 1-7.

Dutta DC. (2010): Induction of labor, Textbook of obstetrics. 7^th ed, New central Book Agency (P) Ltd, London: 46.

Gulmezoglu AM., Crowther CA., and Middletaion P. (2006): Induction of labor for improving birth outcomes for women at or beyond term. Cochrane Database Syst Rev; CD004945

Humphrey T. and Tucker J. (2009): Rising rates of obstetric Intervention: exploring the determinants of induction of labor. Journal of Public Health; 31(1): 88-94.

Joane Crane et al. (2001): society of obstetricians and gynecologists of Canada. SOGC clinical practice guide line No. 107, August 2001

Kaur P., Kaur M., Kaur K., Manjit MK. and Goel P. (2013): A Study of Outcome of Induction of Labor: Medical Versus Surgical. Indian Journal of Clinical Practice; 24(7): 651-654

Khan N., Ahmed I., Malik A. and Sheikh L. (2012): Factors associated with failed induction of labor in a secondary care hospital. J Pak Med Assoc; 62(1): 6-10.

Mealing NM., Roberts CL., Ford JB., Simpson JM. and Morris JM. (2009): Trends in induction of labor, 1998–2007: a population based study. Aust N Z J Obstet & Gynaecol; 49(6):599-605.

Moore, LE. and Rayburn WF. (2006): Elective induction of labor. Clin Obstet Gynecol; 49: 698-704.

Norwitz E., Robison J. and Repke J. (2002): Labor and delivery in gAbbe SG, Niebyl JR, simfon JL, eds- obstet: Normal and problem pregnancies 4^th ed., New York, Churchill Livingstone; 353-94

Rayburn, WF, and Zhang, J. (2002): Rising rates of labor induction: present concerns and future strategies. Obstet Gynecol; 100:164-7.

Simpson KR. and Creehan PA. (2014): Labor and birth. AWHONN’S Perinatal Nursing. 4^th ed., USA; 342.

Vardo JH., Thornburg LL. and Glantz JC. (2011): Maternal and neonatal morbidity among nulliparous women undergoing elective induction of labor. J Reprod Med; 56(1): 25-30.

Vrouenraets FP., Roumen FJ., Dehing CJ., van den Akker ES., Arts MJ. and Scheve EJ. (2005):Bishop score and risk of cesarean delivery after induction of labor in nulliparous women. Obstet Gynecol 2005; 105: 690-7.

Walker K., Bugg G., Macpherson M., McCormick C. and Wildsmith C. (2012):Induction of labor versus expectant management for nulliparous women over 35 years of age: a multi-centre prospective, randomized controlled trial. Pregnancy and Childbirth J; 12(145): 1-7.