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BMC Pregnancy and Childbirth
Published in: BMC Pregnancy and Childbirth 1/2020

01-12-2020 | Labor Induction | Research article

Prevalence and risk factors for caesarean delivery following labor induction at a tertiary hospital in North Tanzania: a retrospective cohort study (2000–2015)

Authors: Clifford Silver Tarimo, Michael J. Mahande, Joseph Obure

Published in: BMC Pregnancy and Childbirth | Issue 1/2020

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Abstract

Background

Labor induction is among the common and widely practiced obstetric interventions aiming at achieving vaginal delivery. However, cesarean section (CS) delivery incidences have been reported following its use. This study aimed at determining the prevalence and risk factors for caesarean delivery following labor induction among women who gave birth at a tertiary hospital in north-Tanzania.

Methods

A hospital-based retrospective cohort study was designed using maternally-linked data from Kilimanjaro Christian Medical Centre (KCMC) birth registry among women who gave birth to singleton babies from the year 2000 to 2015. All induced deliveries done in this period were studied. Women with multiple pregnancy, missing information on delivery mode and those with history of CS delivery were excluded. Relative risk and 95% Confidence Interval for risk factors for CS delivery following labor induction were estimated using log-binomial regression models. Robust variance estimation was used to account for repeated deliveries from the same subject.

Results

A total of 1088 deliveries were analysed. The prevalence of CS following labour induction was 26.75%. Independent risk factors for CS delivery were; primiparity (RR = 1.46; 95% CI: 1.18–1.81), high birthweight (RR =1.28; 95% CI: 1.02–1.61), post-term pregnancy (RR = 1.45; 95% CI: 1.09–1.93), and urban residence (RR =1.29; 95%CI: 1.05–1.58).

Conclusion

In patients undergoing labor induction, primiparity, high birthweight, post dates and urban residence were found to associate with an elevated risk of caesarean delivery. Assessment of these factors prior to labor induction intervention is warranted to reduce adverse pregnancy outcomes associated with emergency caesarean delivery.
Literature
1.
2.
3.
Mozurkewich E, Chilimigras J, Koepke E, Keeton K, King VJ. Indications for induction of labour: a best-evidence review. Int J Obstet Gynaecol. 2009;116:626–36.CrossRef
4.
Hannah M, Hannah W, Hellmann J, Hewson S, Milner R, Willan R. Induction of labor as compared with serial antenatal monitoring in post-term pregnancy. N Engl J Med. 1992;326:1587–92.CrossRef
5.
6.
Cammu H, Martens G, Ruyssinck G, Amy JJ. Outcomes after elective labor induction in nulliparous women: a matched cohort study. Am J Obstet Gynecol. 2002;186:240–4.CrossRef
7.
Little SE, Caughey AB. Induction of labor and cesarean. What is the true relationship? Clin Obstet Gynecol. 2015;58(2):269–81.CrossRef
8.
Barber EL, Lundsberg L, Belanger K, Pettker CM, Funai FF, Illuzzi JL. Contributing indications to the rising cesarean delivery rate. Obstet Gynecol. 2011;118(1):29–38.CrossRef
9.
10.
Hamilton BE, Martin JA, Veentura SJ. Births: preliminary data for 2012. Natl Vital Stat Rep. 2013;62:1–20.PubMed
11.
Denk CE, Kruse LK, Jain NJ. Surveillance of cesarean section deliveries, New Jersey, 1999–2004. Birth. 2006;33:203–9.CrossRef
12.
Stavrou EP, Ford JB, Shand AW, Morris JM, Roberts CL. Epidemiology and trends for caesarean section births in New South Wales, Australia: a population-based study. BMC Pregnancy Childbirth. 2011;11:8.CrossRef
13.
Martin JA, Hamilton BE, Ventura SJ, et al. Births: final data for 2009. Natl Vital Stat Rep. 2011;60:1–70.PubMed
14.
Heffner LJ, Elkin E, Fretts RC. Impact of labor induction, gestational age, and maternal age on caesarean delivery rates. Am Coll Obstet Gynecol. 2003;102(2):287–93.
15.
Maslow AS, Sweeny AL. Elective induction of labor as a risk factor for cesarean delivery among low-risk women near term. Obstet Gynecol. 2000;95:917–22.PubMed
16.
Seyb ST, Berka RJ, Socol ML, Dooley SL. Risk of cesarean delivery with elective induction of labor at term in nulliparas. Obstet Gynecol. 1999;94:600–7.PubMed
17.
Ehrenthal DB, Jiang X, Strobino DM. Labor induction and the risk of caesarean delivery among nulliparous women at term. Obstet Gynecol. 2010;116:35–42.CrossRef
18.
Hu HT, Xu JJ, Lin J, Li C, Wu YT, Sheng JZ, et al. Association between first caesarean delivery and adverse outcomes in subsequent pregnancy: a retrospective cohort study. BMC Pregnancy Childbirth. 2018;18(1):273.CrossRef
19.
Kennare R, Tucker G, Heard A, Chan A. Risks of adverse outcomes in the next birth after a first cesarean delivery. Obstet Gynecol. 2007;109(2):270–6.CrossRef
20.
Kamath BD, Todd JK, Glazner EJ, Lezotte D, Lynch AM. Neonatal outcomes after elective cesarean delivery. Obstet Gynecol. 2009;113(6):1231–8.CrossRef
21.
Mahande JM, Daltveit AK, Mmbaga BT, Obure J, Masenga G, Manongi R, Lie RT. Recurrence of perinatal death in northern Tanzania: a registry-based study. BMC Pregnancy Childbirth. 2013;13:166.CrossRef
22.
Woubishet G, Girma W, Tseadu F, Wolde M. Outcome of induction and associated factors among term and post-term mothers managed at Jimma University specialized hospital: a two years’ retrospective analysis. Ethiop J Health Sci. 2004;26:123–32.
23.
Nuthalapaty FS, Rouse DJ, Owen J. The association of maternal weight with cesarean risk, labor duration, and cervical dilation rate during labor induction. Am Coll Obstet Gynecol. 2004;103:452–6.
24.
Hurissa BF, Geta M, Belachew T. Prevalence of failed induction of labor and associated factors among women delivered in Hawassa public health facilities, Ethiopia. Women’s Health Care. 2015;4:5.
25.
Rayburn WF, Zhang J. Rising rates of labor induction: present concerns and future strategies. Am Coll Obstet Gynecol. 2002;100:164–7.
26.
Rayamajhi R, Karki C, Shrestha N, Padhye S. Indications for labour induction and predictors for failed induction at KMCTH. Kathmandu Univ Med J. 2009;7:21–5.CrossRef
27.
Vrouenraets FP, Roumen FJ, Dehing CJ, Van den Akker ES, Aarts MJ, Scheve EJ. Bishop score and risk of cesarian delivery after induction of labor in nulliparous women. Am J Obstet Gynecol. 2005;105:690–7.CrossRef
28.
Caughey AB, Stotland NE, Washington AE, Escobar GJ. Maternal and obstetric complications of pregnancy are associated with increasing gestational age at term. Am Coll Obstet Gynecol. 2007;196:155.e1–6.CrossRef
29.
Neiger R. Fetal macrosomia in diabetic patients. Clin Obstet Gynecol. 1992;35:138–50.CrossRef
30.
Sheiner E, Levy A, Menes TS, Silverberg D, Katz M, Mazor M. Pediatr Perinat Epidemiol. 2004;18(3):196–201.CrossRef
31.
Roos N, Sahlin L, Ekman-Ordeberg G, Kieler H, Stephansson O. Maternal risk factors for postterm pregnancy and cesarean delivery following labor induction. Acta Obstet Gynecol Scand. 2010;89(8):1003–10.CrossRef
32.
Arrowsmith S, Wray S, Quenby S. Maternal obesity and labour complications following induction of labour in prolonged pregnancy. BJOG. 2011;118(5):578–88.CrossRef
33.
Roos N, Sahlin L, Ekman-ordeberg G, Keiler H, Stephansson O. Maternal risk factors for postterm pregnancy and cesarean delivery following labor induction. Acta Obstet Gynecol. 2010;89:1003–10.CrossRef
34.
Nesbitt TS, Gilbert WM, Herrchen B. Shoulder dystocia and associated risk factors with macrosomic infants born in California. Am J Obstet Gynecol. 1998;179:476–80.CrossRef
35.
Rand L, Robinson JN, Economy KE, Norwitz ER. Post-term induction of labor revisited. Obstet Gynecol. 2000;96:779.PubMed
36.
Williams MC, Krammer J, O’Brien WF. The value of the cervical score in predicting successful outcome of labor induction. Obstet Gynecol. 1990;90:784–9.CrossRef
Metadata
Title
Prevalence and risk factors for caesarean delivery following labor induction at a tertiary hospital in North Tanzania: a retrospective cohort study (2000–2015)
Authors
Clifford Silver Tarimo
Michael J. Mahande
Joseph Obure
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2020
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-020-02861-8

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