European Journal of Biomedical and Pharmaceutical Sciences

RISK FACTORS FOR EMERGENCY CESAREAN DELIVERY AFTER INDUCTION OF LABOR USING MISOPROSTOL: A CROSS-SECTIONAL STUDY

Dr. Sharif Jamal Hamed Salha*, Dr. Mohammed Zimmo and Dr. Ayman Abu Mustafa

ABSTRACT

Objective: The aim was to assess the risk factors for emergency cesarean delivery after induction of labor by misoprostol. Methods: It is a cross-sectional study in which all women with a single, full-term pregnancy who got misoprostol induction of labor were delivered at Shifa Medical Complex's obstetric department. The proportions were compared using the 2 test to see if there were any changes by mode of delivery. With a 95 percent confidence level, bivariate logistic regression was used to determine the probabilities of an emergency cesarean section. Main outcome measures: The primary outcome was the likelihood of an emergency cesarean delivery in induced women using misoprostol in singleton, full-term pregnancies at Shifa Medical Complex's obstetric department. Result: In our study, the probability of cesarean section was 14 percent among 524 women who were induced for labor using misoprostol for a variety of reasons. Primiparous women, older women, poor bishop scores, low birth weights, post-term pregnancy, GDM, and maternal anemia are all linked to an increased risk of cesarean section. Cesarean section rates varied among induced laboring women, ranging from 15.8 percent to 55.5 percent to 13.3 percent to 15.3 percent to 25 percent to 11.1% among primiparous, older women, low birth weights, post-term pregnancy, GDM, and maternal anemia women, respectively. In the study population, the odds of an emergency cesarean birth increased, with crude odds ratios ranging from 0.41 (95 percent CI 0.98 to 1.80) to 7.4 (95 percent CI 0.98 to 1.80). (95 percent CI 1.92 to 28.45) There were numerous risk factors in the research population that enhanced the rate of cesarean delivery. Significant disparities were found between two groups of induction in the research population. Conclusion: Induction of labor in primiparous, older women, low bishop score, low birth weights, post-term pregnancy, GDM, and maternal anemia were all strongly linked to an increased risk of cesarean delivery in the study population. Assessment of these factors will be predictable to reduce the complication of pregnancy outcomes among induced women related to emergency cesarean section.

Keywords: Induction of labor(IOL), misoprostol, bishop score ,cesarean section(CS).