Background and aim: Induction of labor involves mechanical interventions to initiate uterine contractions for vaginal delivery. When Induction of labor fails, it often leads to cesarean section, increasing the risks of surgical complications, particularly in low-resource settings. This study aimed to identify factors contributing to failed induction of labor among pregnant women in public hospitals in southern Oromia, Ethiopia. Methods: An institution-based unmatched case-control study involving 171 participants (57 cases and 114 controls) was conducted from October to November 2021Data were collected through interviews and medical record reviews. Factors associated with failed induction of labor were analyzed using bivariable and multivariable logistic regression. Results: Women with an induction-to-delivery interval exceeding 8 hours had 2.59 times higher odds of failed induction of labor(AOR = 2.59; 95% CI: 1.18–5.64). Additionally, women who did not attend antenatal care had nearly three times higher odds of failed induction of labor (AOR = 2.96; 95% CI: 1.24–7.10). Primiparous women were also at significantly greater risk, with 3.41 times higher odds of failure compared to multiparous women (AOR = 3.41; 95% CI: 1.60–7.27). Conclusion: Induction-to-delivery intervals exceeding 8 hours, a lack of ANC, and primiparity are major determinants of failed induction of labor. To reduce unnecessary cesarean section rates, healthcare providers should closely monitor labor progression and encourage antenatal careattendance. Further research is needed to assess the quality of perinatal care in induction of labor management, particularly in resource-limited settings where access to timely interventions may be constrained.
Basaye, H. Miesa. (2026). Determinants of failed induction of labor among pregnant mothers in public hospitals in southern Oromia, Ethiopia. Journal of Midwifery and Reproductive Health, (), 1–8. https://doi.org/10.22038/jmrh.2026.87871.2657
MLA
Basaye, H. Miesa. "Determinants of failed induction of labor among pregnant mothers in public hospitals in southern Oromia, Ethiopia", Journal of Midwifery and Reproductive Health, , 2026, 1–8. doi: 10.22038/jmrh.2026.87871.2657
HARVARD
Basaye, H. Miesa. (2026). 'Determinants of failed induction of labor among pregnant mothers in public hospitals in southern Oromia, Ethiopia', Journal of Midwifery and Reproductive Health, (), pp. 1–8. doi: 10.22038/jmrh.2026.87871.2657
CHICAGO
Basaye, H. Miesa, "Determinants of failed induction of labor among pregnant mothers in public hospitals in southern Oromia, Ethiopia." Journal of Midwifery and Reproductive Health, (2026): 1–8, doi: 10.22038/jmrh.2026.87871.2657
VANCOUVER
Basaye H. Miesa. Determinants of failed induction of labor among pregnant mothers in public hospitals in southern Oromia, Ethiopia. JMRH. 2026;():1–8. doi: 10.22038/jmrh.2026.87871.2657
