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Factors Influencing Induction of Labor Success in Riyadh, Saudi Arabia
Renad A Alshalan1, Rwan K Alarfaj1, Yazeed A Almojel1
1College of Medicine King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Obstetrics and Gynecology International
|October 4, 2024
Summary
Induction of labor (IOL) success in Riyadh was linked to higher parity and Prostin use. Lower gravidity and Propess may increase cesarean delivery rates, necessitating careful patient assessment before IOL.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
Background:
- Labor induction is a common obstetric intervention to initiate childbirth before spontaneous onset.
- Factors influencing the success of labor induction are crucial for optimizing maternal and fetal outcomes.
Purpose of the Study:
- To investigate predictors of successful labor induction in Riyadh, Saudi Arabia.
- To identify factors associated with both successful vaginal delivery and cesarean delivery following induction.
Main Methods:
- Retrospective chart review of 531 pregnant women who underwent labor induction.
- Data collected included patient demographics, indications for induction, medications used (Propess, Prostin), and delivery outcomes.
- Statistical analysis included univariate and multivariate regression to identify significant predictors.
Main Results:
- Overall IOL success rate was 62% (normal delivery), with 31.1% resulting in cesarean delivery.
- Increased parity and Prostin administration were significant independent predictors of IOL success.
- Lower gravidity (≤3) and Propess use were associated with higher rates of cesarean delivery.
Conclusions:
- Labor induction success is significantly influenced by parity and the use of Prostin.
- Careful patient selection and assessment are vital, considering factors like gravidity and medication choice, to minimize the risk of operative delivery.
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