Document Detail

Induction of labour: determinants and implications of failure to keep an initial appointment in a developing country.
MedLine Citation:
PMID:  20455719     Owner:  NLM     Status:  MEDLINE    
The objective of this study was to determine why parturients in a low resource setting fail to keep an appointment for induction of labour and evaluate the subsequent pregnancy outcome. The method used was a prospective matched case control study. Results showed that women with only primary school education were significantly more common in the study group (8% vs 1%; p < 0.05). The main reason for failing to keep the appointment was because they preferred spontaneous onset of labour (56.6%) and the 'spousal factor' (23.9%). Patients who were counselled by the consultant obstetrician were less likely to decline compared with those counselled by the resident doctors. Although the pregnancy outcome was comparable, failed induction of labour leading to caesarean section was significantly commoner among the study group (p < 0.05). It was concluded that social and cultural factors affecting the utilisation of health services should be considered by obstetric care providers in developing countries, to promote safe motherhood.
A B Ande; M C Ezeanochie; B N Olagbuji
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology     Volume:  30     ISSN:  1364-6893     ISO Abbreviation:  J Obstet Gynaecol     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-05-11     Completed Date:  2010-08-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309140     Medline TA:  J Obstet Gynaecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  367-9     Citation Subset:  IM    
Department of Obstetrics and Gynaecology, University of Benin Teaching Hospital, Benin-City, Edo State, Nigeria.
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MeSH Terms
Case-Control Studies
Developing Countries
Labor, Induced*
Pregnancy Outcome
Prospective Studies
Socioeconomic Factors
Treatment Refusal*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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