Success Rate of Labor Induction: Vaginal Delivery Versus Caesarean Section, 2024
Abstract:
Background: Induction of labor (IOL) is a common obstetric intervention, yet data on its outcomes in Rwanda remain limited. This study evaluated the success rate of IOL, identified indications for cesarean delivery, and exam ined neonatal outcomes at Kacyiru Hospital.
Methods: A retrospective review was conducted among 378 women who underwent IOL at Kacyiru Hospital be tween January and March 2024. Data were extracted from medical records and analyzed using SPSS version 27
Results: Most inductions (98.7%) were performed using misoprostol (Cytotec). The main indications were late-term pregnancy, term pregnancy, and prolonged latent phase. The overall success rate was 75.1%, resulting in sponta neous vaginal delivery, while 24.9% required cesarean section, primarily upon maternal request. Most newborns had favorable Apgar scores (≥7) at 1 and 5 minutes (92.1% and 92.3%, respectively). About 8% required NICU admission, mainly for suspected infection, transient tachypnea, or low birth weight.
Conclusion: Labor induction with misoprostol at Kacyiru Hospital shows a high rate of successful vaginal delivery and favorable neonatal outcomes. Nonetheless, continuous monitoring and evidence-based protocols are needed to optimize safety and reduce unnecessary cesarean deliveries.
