ArticleBMC public health2012
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).
Article in BMC public health, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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21 citing papers in PubMed, 47 citations in OpenAlex.
- Comparative analysis of transvaginal sonographic cervical assessment and Bishop Score in predicting labour induction success at a tertiary hospital in Ghana.Ghana medical journal · 2026Article
- Timing of Prostin E2 Administration After Poor Response to Propess: Impact on Induction-to-Birth Interval and Maternal/Neonatal Outcomes.Medicina (Kaunas, Lithuania) · 2025Article
- Risk factors for labour induction and augmentation: a multicentre prospective cohort study in India.The Lancet regional health. Southeast Asia · 2024Article
- Maternal and neonatal outcome in pregnant women undergone induction of labor at Muhimbili National Hospital, Dar Es Salaam, Tanzania.BMC pregnancy and childbirth · 2024Article
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- Factors affecting failed induction of labour among Indian women.Bioinformation · 2024Article
- Lived experiences of women during induction of labour at a tertiary hospital in Ghana: A qualitative study.PLOS global public health · 2024Article
- The prevalence and associated factors of success of labor induction in Hargeisa maternity hospitals, Hargeisa Somaliland 2022: a hospital-based cross-sectional study.BMC pregnancy and childbirth · 2023Article
- Prediction of low Apgar score at five minutes following labor induction intervention in vaginal deliveries: machine learning approach for imbalanced data at a tertiary hospital in North Tanzania.BMC pregnancy and childbirth · 2022Article
- Failed induction of labor and associated factors among women undergoing induction at University of Gondar Specialized Hospital, Northwest Ethiopia.BMC pregnancy and childbirth · 2022Article
- Article
- Intracervical double-balloon catheter versus dinoprostone for cervical ripening in labor induction in pregnancies with a high risk of uterine hyperstimulation.Archives of gynecology and obstetrics · 2021Article
- Article
- Failed induction of labor and its associated factors in Ethiopia: A systematic review and meta-analysis.Heliyon · 2021Review
- Prevalence, outcomes and associated factors of labor induction among women delivered at public hospitals of MEKELLE town-(a hospital based cross sectional study).BMC pregnancy and childbirth · 2020Article
- The Effect of Ultrasound-Measured Preinduction Cervical Length on Delivery Outcome in a Low-Resource Setting.TheScientificWorldJournal · 2020Article
- Caesarean section by maternal age group among singleton deliveries and primiparous Japanese women: a secondary analysis of the WHO Global Survey on Maternal and Perinatal Health.BMC pregnancy and childbirth · 2016Article
- Epidemiologic considerations: scope of problem and disparity concerns.Clinical obstetrics and gynecology · 2014Article
- Obstetric outcome and significance of labour induction in a health resource poor setting.Obstetrics and gynecology international · 2014Article
- Comparison effect of oral propranolol and oxytocin versus oxytocin only on induction of labour in nulliparous women (a double blind randomized trial).Journal of clinical and diagnostic research : JCDR · 2013Article
Corrections and comments
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Authors and funding
11 authors at 8 institutions in 8 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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.
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