Related Experiment Video
Updated: Jul 14, 2026
08:49
External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
Factors predicting failure of labour induction.
V O Oboro1, A I Isawumi, S E Akinola
1Department of Obstetrics & Gynaecology, Ladoke Akintola University of Technology Teaching Hospital, Osogbo, Osun State, Nigeria.
The Nigerian Postgraduate Medical Journal
|June 30, 2007
Summary
Failed labor induction is common, with cervical effacement less than 70%, low Bishop's score, and nulliparity being key risk factors. Prolonged pregnancy, however, reduces the risk of induction failure.
Area of Science:
- Obstetrics and Gynecology
- Reproductive Medicine
Background:
- Labor induction is a common obstetric procedure.
- Identifying risk factors for failed labor induction is crucial for optimizing delivery outcomes and patient safety.
Purpose of the Study:
- To identify independent risk factors associated with failed labor induction.
- To inform clinical decision-making regarding the timing of Cesarean delivery after induction.
Main Methods:
- Retrospective case-control study conducted from January 2001 to December 2005.
- Involved analysis of women undergoing labor induction, comparing those with failed induction (requiring Cesarean section) to those with successful vaginal delivery.
- Univariate and Logistic regression analyses were performed to determine significant risk factors.
Main Results:
- Failed labor induction occurred in 37.6% of cases.
- Significant independent risk factors for failed induction included cervical effacement < 70% (aOR 5.12), Bishop's score < 6 (aOR 3.47), and nulliparity (aOR 3.91).
- Prolonged pregnancy was found to independently reduce the failure rate (aOR 0.44).
Conclusions:
- Cervical effacement, Bishop's score, nulliparity, and prolonged pregnancy are key predictors of labor induction success or failure.
- These factors can assist clinicians in identifying patients who may benefit from early Cesarean delivery to avoid prolonged induction-delivery intervals.
Related Concept Videos
01:29Mechanical Ventilation I: Indication and Settings
Mechanical ventilation is a life-saving technique for managing acute respiratory failure and other respiratory complications. The process involves using a machine known as a ventilator to supply oxygen to the lungs and assist in removing carbon dioxide. It serves as a bridge to long-term mechanical ventilation or a temporary measure until ventilatory support is discontinued. The ventilator can maintain this function for a prolonged period, providing critical support for patients until they can...
01:24Factors Affecting Workability
The workability of concrete is a critical characteristic that influences the ease of mixing, handling, and finishing the concrete. It is affected by several factors including water content, aggregate properties, and admixtures like air entrainment. Water plays a fundamental role as it lubricates the concrete mix, facilitating easier movement and placement. However, the water requirement varies depending on the texture and shape of aggregates. Finer particles and angular, rough-textured...
01:29Local Anesthetics: Clinical Application as Epidural Anesthesia
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...