The Magnitude of Failed Induction of Labor and Associated Factors Among Women Delivered at Public Hospitals of Arsi Zone, Southeast Ethiopia, 2020: A Cross-Sectional Study

BACKGROUND: Failed induction of labor is one challenge in all obstetrics care given all over the world, which increases the incidence and percentage of cesarean sections. It is still a major challenge in both developed and developing countries. This study was significant because it identified the magnitude and associated factors of failed induction of labor. OBJECTIVE: To assess the magnitude of failed induction of labor and associated factors among women delivered at public hospitals in the Arsi zone, South East Ethiopia. METHODS: We conducted institutional-based cross-sectional study design in public hospitals in the Arsi zone. We used random-sampling methods, and collected the data using a structured questionnaire and checklist and analysed using a statistical package for social science (SPSS) version 25 software, described and presented data using texts, tables, and charts. We took those variables with a p-value of 0.05 as statistically significant determinants of failed induction of labor. RESULTS: The magnitude of failed induction of labor was 21.3%. AOR =8.788, 95% CI = (2.884–12.397), maternal residence in urban [AOR=0.356, 95% CI: (0.143–0.886)], multi para 0.390 times less likely than prime para with odds ratio [AOR=0.390, CI: (0.147, 0.632)], Bishop score before induction started 4 [AOR=5.155, CI: 3.062–7.387]. Indications for IOL: PROM more likely than IUGR [AOR=4.158, 95% CI: (2.415, 9.554)], time from start of induction to deliver less than twelve hours [AOR=6.511, 95% CI: (2.477, 10.116)], were statistically significant determinants of failed induction of labor. CONCLUSION: Magnitude of failed induction of labor was law in Arsi zone public hospitals when compared to the study done in St. Luke C. Hospital. The factors identified as significantly associated with FIOL in this study were maternal age, maternal residence, prime para, Bishop score four, indications for induction of labor: PROM and post-term pregnancy, and time from the start of induction to deliver, twelve hours.