Unmet need for induction of labor in Africa: secondary analysis from the 2004 - 2005 WHO Global Maternal and Perinatal Health Survey (A cross-sectional survey)

BMC Public Health

Research Article

Neves Isilda¹  Wolomby-Molondo Jean-Jose²  Shah Archana³  Mathai Matthews⁴  Nafiou Idi⁵  Fawole Bukola⁶  Mugerwa Kidza⁷  Machoki M’Mimunya⁸  Gulmezoglu Metin⁹  Souza Joao Paulo⁹  Amokrane Faouzi^1,10 

[1] Delegacao Provincial de Saude de Luanda, Luanda, Angola;Department de Gynaecologie et Obstetrique, Cliniques Universitaire de Kinshasa, Kinshasa, Congo;Department of Health Systems, Policy and Workforce, World Health Organization, Geneva, Switzerland;Department of Maternal, Newborn, Child and Adolescent Health, World Health Organization, Geneva, Switzerland;Department of Obstetrics & Gynaecology, Abdou Moumouni University, Niamey, Niger;Department of Obstetrics & Gynaecology, College of Medicine, University of Ibadan, Ibadan, Nigeria;Department of Obstetrics & Gynaecology, Makerere University, Kampala, Uganda;Department of Obstetrics & Gynaecology, University of Nairobi, Nairobi, Kenya;Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland;Ministry of Health, Algiers, Algeria;

关键词: Induction of labor;    Rate;    Utilization;    Stillbirth;    Unmet need;    Perinatal death;    Indication;   

DOI  :  10.1186/1471-2458-12-722

 received in 2012-05-11, accepted in 2012-08-27,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundInduction of labor is being increasingly used to prevent adverse outcomes in the mother and the newborn.This study assessed the prevalence of induction of labor and determinants of its use in Africa.MethodsWe performed secondary analysis of the WHO Global Survey of Maternal and Newborn Health of 2004 and 2005. The African database was analyzed to determine the use of induction of labor at the country level and indications for induction of labor. The un-met needs for specific obstetric indications and at country level were assessed. Determinants of use of induction of labor were explored with multivariate regression analysis.ResultsA total of 83,437 deliveries were recorded in the 7 participating countries. Average rate of induction was 4.4% with a range of 1.4 – 6.8%. Pre-labor rupture of membranes was the commonest indication for induction of labor. Two groups of women were identified: 2,776 women with indications had induction of labor while 7,996 women although had indications but labor was not induced.Induction of labor was associated with reduction of stillbirths and perinatal deaths [OR – 0.34; 95% CI (0.27 – 0.43)].Unmet need for induction of labor ranged between 66.0% and 80.2% across countries. Determinants of having an induction of labor were place of residence, duration of schooling, type of health facility and level of antenatal care.ConclusionUtilization of induction of labor in health facilities in Africa is very low. Improvements in social and health infrastructure are required to reverse the high unmet need for induction of labor.

【 授权许可】

Unknown   
© Fawole et al.; licensee BioMed Central Ltd. 2012. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.