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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
Objective:
To determine the prevalence of and reasons for induction of labor on maternal request in a setting where aversion to induction of labor is the norm.
Method:
Women undergoing induction of labor on maternal request at three maternity centers in Enugu, Nigeria were interviewed by means of pre-tested self-administered questionnaires. The outcomes of labor in these women were also compared with those of a control group consisting of women who had induction of labor for medical reasons.
Results:
The prevalence of induction of labor on maternal request was 7.4%. Maternal convenience was the commonest reason for request induction. The outcomes of labor were similar between the subjects and their controls.
Conclusion:
Nigerian women are beginning to request induction of labor without medical indications and have comparable outcomes with those who have medical indications. There is need for appropriate regulatory guidelines.
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