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Niger Postgrad Med J. 2013 Mar;20(1):1-4.

Women's concerns and satisfaction with induced labour at term in a Nigerian population.

Author information

  • 1Department of Obstetrics and Gynaecology, University of Benin Teaching Hospital, Benin City, Edo state, Nigeria.

Abstract

AIMS AND OBJECTIVES:

To explore the concerns, experiences and satisfaction of women who had induction of labour at term

MATERIALS AND METHODS:

A cross-sectional study conducted in Nigeria, among 252 pregnant women who had induction of labour at term using a two part pre and post induction questionnaire.

RESULTS:

Concerns expressed by the women prior to labour induction were the fear of caesarean delivery (16.6%), labour pains (15.1%) and an adverse foetal or maternal outcome (4.8%). Overall, 180 women (71.4%) expressed satisfaction with the induction process while 72 (28.6%) were dissatisfied. Comparatively, a higher mean age and shorter induction-delivery interval (470±180 vs 660±370, p<0.001) was significantly associated with maternal satisfaction with induced labour. It was also associated with significantly lower caesarean section rates (13.3% vs 61.1%, p=0.001) and composite maternal or foetal morbidities. The common reasons for dissatisfaction with induced labour included caesarean delivery (13.4%), painful labour (8.7%) while 2.4% felt the duration of the procedure was too long.

CONCLUSION:

This study suggests that a substantial number of pregnant women who had induction of labour had unsatisfactory experience. The reasons for dissatisfaction should be addressed by physicians in order to promote a positive psycho-emotional experience of pregnancy and childbirth.

PMID:
23661201
[PubMed - indexed for MEDLINE]
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