Alshalan Renad A, Alarfaj Rwan K, Almojel Yazeed A, AlHaddad Yara, Alsomali Rahaf, Adham Maysoon Al
College of Medicine King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
King Abdulaziz Medical City, Riyadh, Saudi Arabia.
Obstet Gynecol Int. 2024 Sep 26;2024:1637424. doi: 10.1155/2024/1637424. eCollection 2024.
The physiological process by which the fetus and placenta are delivered from the uterus and pass through the vaginal canal for delivery is known as labor. Induction of labor involves deliberately initiating labor before it occurs naturally, using medical interventions or techniques to stimulate contractions and initiate the birthing process.
This study aimed to investigate the factors that influence the success of labor induction procedures in Riyadh, Saudi Arabia, from January to April 2023. . This retrospective chart review was conducted at the National Guard Hospital in Riyadh, Saudi Arabia. Data were collected from the patient chart of those who underwent labor induction from January to April 2023. The collected data were tabulated and cleaned in MS Excel. Final data were transferred to SPSS for subsequent data analysis.
Five hundred and thirty-one pregnant women were analyzed. 52.7% were aged 30 years or below. The most common indication of IOL was post-dated pregnancy (26.2%). 62% were normal deliveries, indicative of IOL success, while 31.1% were cesarean deliveries, indicative of IOL failure. In univariate analysis, women with lower gravidity (≤3) and who had received Propess were associated with cesarean delivery. In a multivariate regression analysis, women who received Prostin and increased parity were identified as the significant independent predictors of IOL success.
IOL's success was dependent primarily on increasing parity and Prostin administration. However, lower gravidity (≤3) and Propess medication could lead to operative procedures among pregnant women. Hence, it is necessary to carefully assess the condition of pregnant women before directing them to IOL.
胎儿和胎盘从子宫娩出并通过阴道管进行分娩的生理过程称为分娩。引产是指在自然分娩发生之前，通过医学干预或技术故意启动分娩，以刺激宫缩并启动分娩过程。
本研究旨在调查2023年1月至4月在沙特阿拉伯利雅得影响引产手术成功率的因素。这项回顾性图表审查在沙特阿拉伯利雅得的国民警卫队医院进行。数据收集自2023年1月至4月接受引产的患者病历。收集到的数据在MS Excel中进行制表和清理。最终数据被转移到SPSS进行后续数据分析。
对531名孕妇进行了分析。52.7%的孕妇年龄在30岁及以下。引产最常见的指征是过期妊娠（26.2%）。62%为正常分娩，表明引产成功，而31.1%为剖宫产，表明引产失败。在单因素分析中，低孕次（≤3）且接受过普贝生的女性与剖宫产有关。在多因素回归分析中，接受普罗斯托和孕次增加的女性被确定为引产成功的显著独立预测因素。
引产的成功主要取决于孕次增加和普罗斯托的使用。然而，低孕次（≤3）和普贝生用药可能导致孕妇接受手术。因此，在指导孕妇进行引产之前，有必要仔细评估孕妇的情况。
