Factors Influencing Induction of Labor Success in Riyadh, Saudi Arabia.

IF 1.6 Q3 OBSTETRICS & GYNECOLOGY
Obstetrics and Gynecology International Pub Date : 2024-09-26 eCollection Date: 2024-01-01 DOI:10.1155/2024/1637424
Renad A Alshalan, Rwan K Alarfaj, Yazeed A Almojel, Yara AlHaddad, Rahaf Alsomali, Maysoon Al Adham
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引用次数: 0

Abstract

Introduction: 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.

Aim: This study aimed to investigate the factors that influence the success of labor induction procedures in Riyadh, Saudi Arabia, from January to April 2023. Subject and Methods. 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.

Results: 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.

Conclusion: 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.

影响沙特阿拉伯利雅得引产成功的因素。
导言:胎儿和胎盘从子宫娩出并通过阴道分娩的生理过程称为分娩。引产是指在自然分娩之前故意启动分娩,使用医疗干预措施或技术刺激子宫收缩并启动分娩过程。研究对象和方法。这项回顾性病历审查在沙特阿拉伯利雅得国民卫队医院进行。数据来自 2023 年 1 月至 4 月期间接受引产手术的患者病历。收集到的数据在 MS Excel 中进行制表和清理。最终数据转入 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 岁或以下。最常见的人工晶体植入指征是过期妊娠(26.2%)。正常分娩占 62%,表明人工晶体植入术成功,而剖宫产占 31.1%,表明人工晶体植入术失败。在单变量分析中,孕酮较低(≤3)和接受过 Propess 的妇女与剖宫产有关。在多变量回归分析中,接受过前列腺素治疗的产妇和胎次增加被认为是人工晶体植入术成功的重要独立预测因素:结论:人工晶体植入术的成功与否主要取决于胎次的增加和前列腺素的使用。结论:人工晶体植入术的成功与否主要取决于胎次的增加和前列腺素的使用,但胎次较低(≤3)和前列腺素的使用可能导致孕妇进行手术。因此,在指导孕妇使用人工晶体前,有必要仔细评估她们的情况。
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来源期刊
Obstetrics and Gynecology International
Obstetrics and Gynecology International OBSTETRICS & GYNECOLOGY-
CiteScore
3.60
自引率
0.00%
发文量
26
审稿时长
19 weeks
期刊介绍: Obstetrics and Gynecology International is a peer-reviewed, Open Access journal that aims to provide a forum for scientists and clinical professionals working in obstetrics and gynecology. The journal publishes original research articles, review articles, and clinical studies related to obstetrics, maternal-fetal medicine, general gynecology, gynecologic oncology, uro-gynecology, reproductive medicine and infertility, reproductive endocrinology, and sexual medicine.
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