Authors: Roua Shoub Gbril Ali , Ouhoud I Kaddour , Badi Shoaib Albaqawi , May A Alrasheed , Elaf Mudathir Osman Elgahori , Samir Omer Elfaki , Ahmed Albadr ,

Abstract

Background: Induction of labor (IOL) is a frequent obstetric intervention used for a variety of reasons, including post-date gestation. The fundamental goal of IOL is to obtain the best maternal outcomes while lowering gestational morbidity and death. However, IOL is not always effective and may require an emergency caesarean section. Several IOL protocols were developed to increase success rates and decrease the number of caesarean section deliveries; however, adherence to these standards has not been widely reported. The purpose of this study was to evaluate the effectiveness and compliance of various IOL regimens in King Fahad Medical City, Saudi Arabia.

Methods: This was a retrospective chart review of women who presented to the Women’s Specialized Hospital in KGMC between January and December 2015 and underwent IOL. Data collected included demographics, medical and obstetric history, IOL indications, and related data.

Results: A total of 346 women were enrolled; the largest proportion was nulliparous (37.3%), and more than one-half were at 36-39 gestational weeks of pregnancy. The major cause of IOL was reduced fetal movement (15.3%). The rate of adherence to protocols was 98%, and the success rate of IOL was 98.6%. Most women delivered normally via the vagina (70.3%).

Conclusion: Adherence to the IOL protocol was high, which led to a high rate of IOL success and a high rate of normal vaginal delivery. The indication for IOL was mainly post-date pregnancy, and prostin was the most used agent for IOL.

Keywords: IOL, Adherence, Indications, Success.