Department of Obstetrics and Gynecology, Aga Khan University Medical College, Dar Es Salaam, Tanzania.
Department of Family Medicine, Aga Khan University Medical College, Dar Es Salaam, Tanzania.
BMC Pregnancy Childbirth. 2024 May 24;24(1):387. doi: 10.1186/s12884-024-06578-w.
Labor induction is a common obstetric intervention aimed at initiating labor when spontaneous onset is delayed or deemed necessary for maternal or fetal well-being. Despite its widespread use, the practice's impact on maternal and neonatal outcomes remains a subject of ongoing research and debate. This study aims to evaluate the maternal and neonatal outcomes associated with labor induction in a tertiary hospital setting in Tanzania.
A descriptive analytical cross-sectional study was conducted over a seven-month period from January 2021 to July 2021 at Muhimbili National Hospital in Dar es Salaam, Tanzania. A total of 120 pregnant women who underwent labor induction during this period were included in the analysis. Data on maternal demographics, obstetric characteristics, indications for induction, methods of induction, labor outcomes, and neonatal outcomes were collected from medical records and analyzed descriptively.
Among 4773 deliveries during the study period, 120 women underwent labor induction, accounting for 120 (2.5%) of all deliveries. The most common indications for induction were postdate pregnancy 60 (50%), hypertensive disorders of pregnancy 38 (31.7%), and premature rupture of membranes 22 (17.5%). The majority of induced women 74 (61.7%) delivered vaginally, with 46 (38.3%) undergoing cesarean section. Maternal complications were minimal, with the most common being failed induction of labor 17 (14.2%). Neonatal outcomes were generally positive, with 120 (100%) of neonates having Apgar scores of 7 or higher at five minutes, although 10 (8.3%) required admission to the neonatal ward for further care.
Labor induction at Muhimbili National Hospital demonstrated favorable maternal and neonatal outcomes, with low rates of maternal complications and positive neonatal Apgar scores. Postdate pregnancy emerged as the most common indication for induction. While the study highlights the benefits of labor induction, its retrospective nature and single-center setting limit the generalizability of findings. Prospective studies with larger sample sizes are warranted to validate these findings and inform evidence-based obstetric practices.
分娩诱导是一种常见的产科干预措施，旨在当自发性分娩延迟或认为对母婴健康有必要时启动分娩。尽管它被广泛应用，但其实践对母婴结局的影响仍然是一个持续研究和争论的主题。本研究旨在评估坦桑尼亚一家三级医院分娩诱导相关的母婴结局。
这是一项在 2021 年 1 月至 7 月期间于坦桑尼亚达累斯萨拉姆的穆希比利国家医院进行的为期七个月的描述性分析性横断面研究。共有 120 名在此期间接受分娩诱导的孕妇被纳入分析。从病历中收集了产妇人口统计学、产科特征、诱导指征、诱导方法、分娩结局和新生儿结局的数据，并进行了描述性分析。
在研究期间的 4773 次分娩中，有 120 名妇女接受了分娩诱导，占所有分娩的 120（2.5%）。诱导的最常见指征是过期妊娠 60 例（50%）、妊娠高血压疾病 38 例（31.7%）和胎膜早破 22 例（17.5%）。大多数接受诱导的妇女 74 例（61.7%）经阴道分娩，46 例（38.3%）行剖宫产。产妇并发症很少，最常见的是诱导失败 17 例（14.2%）。新生儿结局总体良好，120 例（100%）新生儿在 5 分钟时 Apgar 评分为 7 或更高，但 10 例（8.3%）需要入住新生儿病房接受进一步治疗。
穆希比利国家医院的分娩诱导显示出有利的母婴结局，产妇并发症发生率低，新生儿 Apgar 评分阳性。过期妊娠是最常见的诱导指征。虽然该研究强调了分娩诱导的益处，但由于其回顾性和单中心的性质，限制了研究结果的普遍性。需要进行前瞻性研究，纳入更大的样本量，以验证这些发现并为基于证据的产科实践提供信息。
