contributing factors to failed oxytocin induction among women giving birth at referral hospitals of amhara regional state, ethiopia, in 2018: a case-control study

Background & aim: failed oxytocin induction of labor increases the rate ofcesarean section and associated complications. the present study aimed to identifycontributing factors to failed oxytocin induction among women who gave birth atthe referral hospitals of amhara regional state, ethiopia, in 2018.methods: this unmatched case-control study was conducted on a total of 336parturient women (112 cases and 224 controls) at the referral hospitals of amhararegional state, ethiopia, within march 19 to may 18, 2018. systematic andconsecutive sampling methods were applied for the selection of controls and cases,respectively. both the interviewer-administered questionnaire and medical chartreview were utilized as tools for data collection. the validity of the tools wasdetermined by content validity, and cronbach’s alpha coefficient as a measure oftool reliability was rendered at 0.82. data analysis was carried out by spsssoftware (version 23) using multivariable logistic regression analysis.results: according to the obtained results, primiparity (aor=6.24; 95% ci: 3.32-11.73), intermediate bishop score (aor=11.77; 95% ci: 5.19-26.71), emergencyoxytocin induction (aor=2.47; 95% ci: 1.31-4.68), and age of ≤ 30 years(aor=2.16; 95% ci: 1.13-4.16) were considered the determinants of failedoxytocin induction.conclusion: considering the factors of primiparity, intermediate bishop score (5-8) and the age of ≤ 30 years as determinants of failed oxytocin induction, it isrecommended to use oxytocin induction after obtaining a favorable bishop score.