Evaluation of Outcomes after Implementation of Induction of Labour Protocol at the Georgetown Public Hospital Corporation

ABSTRACT

Objective:To evaluate the incidence of failed induction of labour (FIOL), and determined whether this resulted from non-adherence to the induction of labour protocol.Design and Methods:This study was a retrospective cohort analysis of all term patients who underwent induction of labour from 1st January to 30th June 2018. MaterialsGPHC IOL protocol, inpatient charts, nurses and theatre log books, electronic handing over records, Microsoft Excel, Word and www.medcalc.org/calc/odds_ratio.php.Results:They were 388 patients induced that met the eligibility criteria outlined, 298 were included in the study while 90 were excluded because of failure to locate the patient records. 77,5% ofthe term patients induced achieved spontaneous vaginal delivery and 21,8% delivered by cesarean section, the nulliparous patients had a higher incidence of cesarean delivery at 33,1% (P=0,0514), compared with the multiparous patients 10,6% (P=0,0158). Therate of FIOL was 10,4% (31 patients). 48,4% of these diagnosis were not in accordance with the labour induction protocol (P=<0,0001).Conclusions:The incidence of FIOL was 10,4%, of which 48,4% was not in accordance to the protocol. Standardization of management and adherence to the labour induction protocol decreases the time to delivery and cesarean section rate. Recommendations:The diagnosis of FIOL should be made in accordance with the international guidelines adapted by GPHC’s induction protocol.