{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:30:58Z","timestamp":1787070658472,"version":"build-2736575974"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,7]]},"abstract":"\n Background:<\/jats:title>\n Induction of labor (IOL) initiates labor artificially, aiming to prevent potential risks for both mother and fetus. However, data on IOL outcomes for parous women in the developing countries are scarce.<\/jats:p>\n <\/jats:sec>\n \n Objectives:<\/jats:title>\n This study evaluates maternal and neonatal outcomes in parous women undergoing IOL at a Sudanese hospital.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n \n A descriptive cross-sectional study included 75 parous women undergoing IOL at Haj-Alsafi Teaching Hospital. Demographic data, reasons for IOL, and maternal and neonatal outcomes were recorded. Statistical analysis was performed using the Statistical Package for Social Sciences (SPSS) software, version 26, with\n P<\/jats:italic>\n values < 0.05 considered statistically significant.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Of 600 women, 75 (12.5%) underwent IOL over 6 months. Main indications were hypertensive disorders (21.3%) and postterm pregnancy (17.3%). Successful vaginal delivery (88%) predominated, with 12% requiring instrumental delivery. Maternal complications included postpartum hemorrhage (8%) and ruptured uterus (1.3%), while 69.7% had no complications. The neonatal survival rate was 91%, with 30.7% admitted to the Neonatal Intensive Care Unit (NICU) for further care. Among the NICU admissions, the mortality rate was 17.4%, all were preterm neonates.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n IOL is associated with successful VD in 88% and low rate of complications among the parous women; however, greater efforts are needed to prevent serious outcomes among the neonates.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jpbs.jpbs_522_24","type":"journal-article","created":{"date-parts":[[2024,10,17]],"date-time":"2024-10-17T08:03:01Z","timestamp":1729152181000},"page":"104-107","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Maternal and Neonatal Outcomes of Labor Induction in Parous Women in a Selected Hospital in Sudan"],"prefix":"10.4103","volume":"16","author":[{"given":"Shaza S.","family":"Mudawi","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Federal Ministry of Health, Khartoum, Sudan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azza O.","family":"Alawad","sequence":"additional","affiliation":[{"name":"Department of Physiology, Faculty of Medicine, Al Neelain University, Khartoum, Sudan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zeinab A.","family":"Elfaki","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine, Alzaiem Alazhary University, Khartoum North, Sudan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tarig H.","family":"Merghani","sequence":"additional","affiliation":[{"name":"Department of Physiology, RAK College of Medical Sciences, RAKMHSU, Al Qusaidat, Ras Al Khaimah, UAE"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,10,17]]},"reference":[{"key":"R2-20241022","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1186\/s12884-022-04476-7","article-title":"Failed induction of labor and associated factors among women undergoing induction at University of Gondar Specialized Hospital, Northwest Ethiopia","volume":"22","author":"Tadesse","year":"2022","journal-title":"BMC Pregnancy Childbirth"},{"key":"R3-20241022","first-page":"1","article-title":"Maternal and neonatal outcomes of elective induction of labor","author":"Caughey","year":"2009","journal-title":"Evid Rep Technol Assess (Full Rep)"},{"key":"R4-20241022","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1016\/j.ejogrb.2020.08.022","article-title":"Does induction of labor at term increase the risk of cesarean section in advanced maternal age? A systematic review and meta-analysis","volume":"253","author":"Fonseca","year":"2020","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"R5-20241022","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1097\/AOG.0b013e3182a6a4d0","article-title":"Elective induction of labor at term compared with expectant management: Maternal and neonatal outcomes","volume":"122","author":"Darney","year":"2013","journal-title":"Obstet Gynecol"},{"key":"R6-20241022","doi-asserted-by":"crossref","first-page":"986","DOI":"10.1067\/mob.2000.106748","article-title":"Maternal and neonatal outcomes after induction of labor without an identified indication","volume":"183","author":"Dublin","year":"2000","journal-title":"Am J Obstet Gynecol"},{"key":"R7-20241022","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1097\/01.AOG.0000254169.49346.e9","article-title":"Outcomes of induction of labor after one prior cesarean","volume":"109","author":"Grobman","year":"2007","journal-title":"Obstet Gynecol"},{"key":"R8-20241022","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1111\/j.1471-0528.2008.02065.x","article-title":"Indications for induction of labour: A best-evidence review","volume":"116","author":"Mozurkewich","year":"2009","journal-title":"BJOG"},{"key":"R9-20241022","first-page":"671","article-title":"Criteria for failed labor induction: Prospective evaluation of a standardized protocol","volume":"96","author":"Rouse","year":"2000","journal-title":"Obstet Gynecol"},{"key":"R10-20241022","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1186\/s12884-020-02862-7","article-title":"Prevalence, outcomes and associated factors of labor induction among women delivered at public hospitals of MEKELLE town-(A hospital based cross sectional study)","volume":"20","author":"Lueth","year":"2020","journal-title":"BMC Pregnancy Childbirth"},{"key":"R11-20241022","doi-asserted-by":"crossref","first-page":"122.e1","DOI":"10.1016\/j.ajog.2017.11.556","article-title":"Defining failed induction of labor","volume":"218","author":"Grobman","year":"2018","journal-title":"Am J Obstet Gynecol"},{"key":"R12-20241022","doi-asserted-by":"crossref","first-page":"e047040","DOI":"10.1136\/bmjopen-2020-047040","article-title":"Intrapartum interventions and outcomes for women and children following induction of labour at term in uncomplicated pregnancies: A 16-year population-based linked data study","volume":"11","author":"Dahlen","year":"2021","journal-title":"BMJ Open"},{"key":"R13-20241022","first-page":"74","article-title":"Induction of labor at Usmanu Danfodiyo University Teaching Hospital, Sokoto","volume":"19","author":"Ekele","year":"2002","journal-title":"Trop J Obstet Gynaecol"},{"key":"R14-20241022","doi-asserted-by":"crossref","first-page":"91","DOI":"10.2174\/1574887109666140827123251","article-title":"Induction of labour for maternal request: An observational study of maternal and fetal outcomes","volume":"9","author":"Bircher","year":"2014","journal-title":"Rev Recent Clin Trials"},{"key":"R15-20241022","doi-asserted-by":"crossref","first-page":"e14284","DOI":"10.1097\/MD.0000000000014284","article-title":"Pregnancy outcomes of elective induction in low-risk term pregnancies: A propensity-score analysis","volume":"98","author":"Na","year":"2019","journal-title":"Medicine (Baltimore)"},{"key":"R16-20241022","doi-asserted-by":"crossref","first-page":"1929","DOI":"10.1080\/14767058.2020.1774545","article-title":"A comparison of maternal and perinatal outcomes with vaginal delivery: Indicated induction versus spontaneous labor","volume":"35","author":"Whittington","year":"2022","journal-title":"J Matern Fetal Neonatal Med"},{"key":"R17-20241022","doi-asserted-by":"crossref","first-page":"15830","DOI":"10.1038\/s41598-023-42413-6","article-title":"Neonatal outcomes of elective labor induction in low-risk term pregnancies","volume":"13","author":"Bengtsson","year":"2023","journal-title":"Sci Rep"},{"key":"R18-20241022","first-page":"39","article-title":"Spontaneous versus induced labor after a previous cesarean delivery","volume":"102","author":"Delaney","year":"2003","journal-title":"Obstet Gynecol"},{"key":"R19-20241022","first-page":"955","article-title":"Neonatal and maternal outcomes at early vs","volume":"103","author":"Carlh\u00e4ll","year":"2024","journal-title":"full term following induction of labor; A secondary analysis of the OBLIGE randomized trial. 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