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Published on: May 26, 2023
Induction of labor on request in a resource-poor setting
C O Chigbu1, I V Ezeome, A O Okezie
1Department of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Enugu, Nigeria. chchigbu@yahoo.com
Summary
Nigerian women are increasingly requesting labor induction for convenience, not medical reasons. Outcomes were similar to medically indicated inductions, highlighting a need for guidelines.
Area of Science:
- Obstetrics and Gynecology
- Reproductive Health
- Maternal Medicine
Background:
- Induction of labor is typically performed for medical necessity.
- Cultural norms in some regions discourage labor induction without medical indications.
- Understanding trends in maternal request for labor induction is crucial for obstetric practice.
Purpose of the Study:
- To ascertain the prevalence of labor induction requested by mothers for non-medical reasons in Nigeria.
- To identify the primary motivations behind maternal requests for labor induction.
- To compare labor outcomes between women who requested induction and those induced for medical reasons.
Main Methods:
- A cross-sectional study involving women undergoing labor induction on maternal request at three Nigerian maternity centers.
- Data collected via pre-tested, self-administered questionnaires.
- Comparison of labor outcomes with a control group induced for medical indications.
Main Results:
- The prevalence of labor induction on maternal request was found to be 7.4%.
- Maternal convenience emerged as the most frequent reason for requesting induction.
- Labor outcomes were comparable between women who requested induction and the control group.
Conclusions:
- A growing trend of Nigerian women requesting labor induction without medical necessity is observed.
- Maternal request for labor induction yields similar outcomes to medically indicated inductions.
- The findings underscore the necessity for developing appropriate regulatory guidelines for labor induction practices.
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