The Cumulative Effect of Induction of Labour on Maternal and Infant Morbidity in Northern Jordan

Research output: Contribution to journalArticle

Abstract

In 1985, the World Health Organization (WHO) stated that no country should have an induction rate higher than 10%. Inappropriate use of technology in childbirth has become an issue of international concern with reports of its negative impact on maternal and infant physical and psychological wellbeing. The aim of this paper is to describe the outcome data from a prospective cohort study and how these were used to test a model of the association between birth technology for inducing birth and maternal and infant morbidity, taking into account labour type, obstetric risk, method of monitoring, oxytocin, number of ultrasound scans and type of analgesia. Data from a prospective cohort study of a convenience sample of 200 primigravida women who gave birth at Bade’a Hospital in Northern Jordan was used for this statistical analysis. The data was obtained from a self-assessment questionnaire that was used to collect data on maternal and infant outcomes during the antenatal, intra-natal and postnatal period. Data extraction was confirmed by examining the case notes. A multivariate analysis using Structural Equation Modelling with goodness of fit assessed using chi-square. Ethical approval to conduct the study was given by the University of Ulster Research Ethics Committee and the Human Subject’s Committee at the Jordan University of Science and Technology. The data analyses demonstrated that Induction of labour (IOL) was associated with use of oxytocin, electronic fetal monitoring and analgesia. A number of chains of association was found: induced labour was associated with fetal distress (p
LanguageEnglish
Pages87-102
JournalInternational Journal of Basic and Clinical Pharmacology
Volume1
Issue number7
Publication statusPublished - 1 Nov 2013

Fingerprint

Induced Labor
Jordan
Mothers
Parturition
Morbidity
Oxytocin
Technology
Analgesia
Obstetric Labor
Cohort Studies
Prospective Studies
Cardiotocography
Fetal Distress
Research Ethics Committees
Multivariate Analysis
Psychology

Keywords

  • Induction of Labour
  • Infant morbidity
  • maternal morbidity
  • Jordan
  • Middle East
  • birth technology
  • prospective study

Cite this

@article{9b657414090141c9ac3a36daa528b04b,
title = "The Cumulative Effect of Induction of Labour on Maternal and Infant Morbidity in Northern Jordan",
abstract = "In 1985, the World Health Organization (WHO) stated that no country should have an induction rate higher than 10{\%}. Inappropriate use of technology in childbirth has become an issue of international concern with reports of its negative impact on maternal and infant physical and psychological wellbeing. The aim of this paper is to describe the outcome data from a prospective cohort study and how these were used to test a model of the association between birth technology for inducing birth and maternal and infant morbidity, taking into account labour type, obstetric risk, method of monitoring, oxytocin, number of ultrasound scans and type of analgesia. Data from a prospective cohort study of a convenience sample of 200 primigravida women who gave birth at Bade’a Hospital in Northern Jordan was used for this statistical analysis. The data was obtained from a self-assessment questionnaire that was used to collect data on maternal and infant outcomes during the antenatal, intra-natal and postnatal period. Data extraction was confirmed by examining the case notes. A multivariate analysis using Structural Equation Modelling with goodness of fit assessed using chi-square. Ethical approval to conduct the study was given by the University of Ulster Research Ethics Committee and the Human Subject’s Committee at the Jordan University of Science and Technology. The data analyses demonstrated that Induction of labour (IOL) was associated with use of oxytocin, electronic fetal monitoring and analgesia. A number of chains of association was found: induced labour was associated with fetal distress (p",
keywords = "Induction of Labour, Infant morbidity, maternal morbidity, Jordan, Middle East, birth technology, prospective study",
author = "Reem Hatamleh and Sinclair, {Marlene .} and WG Kernohan and Brendan Bunting",
note = "Reference text: REFERENCES Crowley P(1998). Interventions to prevent or improve outcomes from delivery at or beyond term. (Cochrane review). In the Cochrane library Issue (2), 2001 Oxford: Update Software. Joseph KS, Rouleau J, Kramer MS, Young DC, Liston RM, Baskett TF(2007). Maternal Health Study Group of the Canadian Perinatal Surveillance System. Investigation of an increase in postpartum haemorrhage in Canada. British J. Obstet. Gynaecol. BJOG, Jun; 114(6):751-759. Grivell RM, Reilly AJ, Oakey HA, Chan A, Dodd JM(2011). Maternal and neonatal outcomes following induction of labour: a cohort study.ActaObstetricia et GynecologicaScandinavica. 91:198-203. Rossen J, {\O}kland I, BjarteNilsen O, Eggeb{\o} TM(2011). Is there an increase of postpartum hemorrhage, and is severe hemorrhage associated with more frequent use of obstetric interventions? Obstetrical and Gynecological Survey. 66: 18–20. Burgos J, Rodr{\'i}guez L, Otero B, Cobos P, Osuna C, CentenoMdel M, Melchor JC, Fern{\'a}ndez-Llebrez L, Mart{\'i}nez-Astorquiza T(2012). Induction at 41 weeks increases the risk of caesarean section in a hospital with a low rate of caesarean sections, J. Maternal- Fetal and Neonatal Med. 25(9):1716-1718. Epub 2012 Mar 9. Investigation of an increase in postpartum haemorrhage in Canada. Shetty A, Burt R, Rice P, Templeton A(2005). Women's perceptions, expectations and satisfaction with induced labour—a questionnaire based stud. Eur. J. Obstetrics and Gynaecology and Reproductive Biol. 123: 56–61 Cooper, M; &Warland, J. (2011) Improving women’s knowledge of prostaglandin induction of labour through the use of information brochures: Aquasi-experimental study, women and birth, 24(4), 156- 64. Cheyne, H; Abhyankar, P; &Williams, B. (2012) Elective induction of labour: The problem of interpretation and communication of risks Midwifery. 28: 412-415. World Health Organization Regional Office for Europe(1985). Joint Interregional Conference on Appropriate Technology for Birth. WHO: Fortaleza, Brazil. Crowley P(1989). Effective care in pregnancy and childbirth. In Chalmers, I. Enkin, M; &Keirse, M. (eds) Post term pregnancy. Induction or surveillance?. Oxford University Press: Oxford. World Health Organization(1998). Appropriate technology for birth: a World Health Organization Perspectives. MIDRIS Midwifery Digest, 12(1),130-132. World Health Organization(2011). Recommendations for induction of labour Geneva: World Health Organization. 2011 Available from HRL the WHO reproductive library http://apps.who.int/rhl/pregnancy_childbirth/induction/guidelines_go onewardeneme_com/en/ National Institute for Health and Clinical Excellence(2008). Induction of Labour. NICE Clinical Guidelines 70 National Collaborating Centre for Women's and Children's Health, London. Stock SJ, Ferguson E, Duffy A, Ford I, Chalmers J, Norman JE(2012). Outcomes of elective induction of labour compared with expectant management: a population based study. British Med. J. 344: e2838. Euro- Peristat Project(2008). European Perinatal Health report by the Euro -Peristat Project, Data from 2004 available at http://www.europeristat.com/our-publications/european-perinatalhealth-report.html Information Services division (ISD) Scotland(2010). Birth in Scottish hospitals. Available from http://www.isdscotland.org/HealthTopics/Maternity-and-Births/Publications/2012-08-28/2012-08-28- healthybirthweight-Report.pdf?20475405455. Lumbiganon P, Laopaiboon M, G{\"u}lmezoglu AM, Souza JP, Taneepanichskul S, Ruyan P, Attygalle DE, Shrestha N, Mori R, Nguyen DH, Hoang TB, Rathavy T, Chuyun K, Cheang K, Festin M, Udomprasertgul V, Germar MJ, Yanqiu G, Roy M, Carroli G, BaThike K, Filatova E, Villar J (2008). World Health Organization Global Survey on Maternal and Perinatal Health Research Group. Method of delivery and pregnancy outcomes in Asia: the WHO global survey on maternal and perinatal health. Lancet 2010, 375(9713):490-499. http://www.ncbi.nlm.nih.gov/pubmed/20071021?dopt=Abstract&hold ing=f1000,f1000m,isrctn Hamilton BE, Martin JA, Ventura SJ(2011). Births: preliminary data for 2010. National Vital Statistics Reports, 60(2):1-25. Available from www.cdc.gov/nchs/data/nvsr/nvsr60/nvsr60_02.pdf. Ministry of health(2011). Annual statistics report, Amman: Jordan. Available from http://www.moh.gov.jo/MOH/En/publications.php Accessed on 27 of Sept. Sinclair M(1999). Midwives’ readiness to use high technology in the labour ward. Implications for Education and Training. Queen’s University Belfast (unpublished PhD thesis). Sinclair M, Crozier K(2004). Medical device raining in maternity care: part 2. British J Midwifery 12(8): 509-513. Duff C, Sinclair MK(2000). Exploring the risks associated with induction of labour: a retrospective study using the NIMATS database. J. Adv. Nursing. 31(2): 410-417. Bricker L, Luckas M(2012). Amniotomy alone for induction of labour available from http://www.summaries.cochrane.org/CD002862/amniotomy-alonefor-induction-of-labour Boulvain M, Stan CM, Irion O(2010). Membrane sweeping for induction of labour available from http://www.summaries.cochrane.org/CD000451/membranesweeping-for-induction-of-labour. Alfirevic Z, Kelly AJ, Dowswell T(2009). Oxytocin for induction of labour. Available from http://www.summaries.cochrane.org/CD003246/oxytocin-forinduction-of-labour. Alfirevic Z, Devane D, Gyte GML(2008). Comparing continuous electronic monitoring of the baby's heartbeat in labour using cardiotocography (CTG, sometimes known as EFM) with intermittent monitoring (intermittent auscultation, IA) available from http://www.summaries.cochrane.org/CD006066/comparingcontinuous-electronic-monitoring-of-the-babys-heartbeat-in-labourusing-cardiotocography-ctg-sometimes-known-as-efm-withintermittent-monitoring-intermittent-auscultation-ia Cochrane summaries: Independent high-quality evidence for health care decision making Devane D, Lalor JG, Daly S, McGuire W, Smith V(2012). Comparing electronic monitoring of the baby's heartbeat on a woman's admission in labour using cardiotocography (CTG) with intermittent monitoring available from http://www.summaries.cochrane.org/CD005122/comparingelectronic-monitoring-of-the-babys-heartbeat-on-a-womansadmission-in-labour-using-cardiotocography-ctg-with-intermittentmonitoring Parkes J, Dolk H, Hill N, Pattenden S(2001), Cerebral palsy in Northern Ireland: 1981--1993. PaediatrPerinatEpidemiol, 15(3):278-86. Jordan Population and Family Health Survey(2009). Department of Statistics. Amman Jordan. Available from http://www.dos.gov.jo/dos_home_e/main/linked-pdf/pop_2009.pdf. Central Intelligence Agency(2011). The world factbook – Jordan. Central Intelligence Agency: Washington. Amarin Z, Jaddou H, Khader Y, Okour A(2009). Maternal Mortality in Jordan, unpublished study, Jordan University of Science and Technology, Irbid-Jordan. Higher Population Council (2007-2008). Maternal Morbidity In Jordan. Retrieved. From http://www.hpc.org.jo/. Hatamleh R, Sinclair M, Kernohan WG, Bunting B(2008). Technological childbirth in northern Jordan: descriptive findings from a prospective cohort study. Evidence Based Midwifery 6(4): 130-135. World Health Organization(2004). Making pregnancy safer statistics in EMR part one. WHO: Geneva. Khresheh R. Homer C. Barclay L(2007). A comparison of labour and birth outcomes in Jordan with WHO guidelines: a descriptive study using a new birth record. Midwifery. Caughey AB, Sundaram V, Kaimal AJ, Gienger A, Cheng YW, McDonald KM, Shaffer BL, Owens DK, Bravata DM(2009). Systematic Review: Elective Induction of Labor Versus Expectant Management of Pregnancy. American College of Physicians G{\"u}lmezoglu AM, Crowther CA, Middleton P, Heatley E(2012). Induction of labour in women with normal pregnancies at or beyond term available from http://www.summaries.cochrane.org/CD004945/induction-of-labourin-women-with-normal-pregnancies-at-or-beyond-term .Jun13;6:CD004945. doi: 0.1002/14651858.CD004945.pub3.",
year = "2013",
month = "11",
day = "1",
language = "English",
volume = "1",
pages = "87--102",
journal = "International Journal of Basic and Clinical Pharmacology",
issn = "2319-2003",
number = "7",

}

TY - JOUR

T1 - The Cumulative Effect of Induction of Labour on Maternal and Infant Morbidity in Northern Jordan

AU - Hatamleh, Reem

AU - Sinclair, Marlene .

AU - Kernohan, WG

AU - Bunting, Brendan

N1 - Reference text: REFERENCES Crowley P(1998). Interventions to prevent or improve outcomes from delivery at or beyond term. (Cochrane review). In the Cochrane library Issue (2), 2001 Oxford: Update Software. Joseph KS, Rouleau J, Kramer MS, Young DC, Liston RM, Baskett TF(2007). Maternal Health Study Group of the Canadian Perinatal Surveillance System. Investigation of an increase in postpartum haemorrhage in Canada. British J. Obstet. Gynaecol. BJOG, Jun; 114(6):751-759. Grivell RM, Reilly AJ, Oakey HA, Chan A, Dodd JM(2011). Maternal and neonatal outcomes following induction of labour: a cohort study.ActaObstetricia et GynecologicaScandinavica. 91:198-203. Rossen J, Økland I, BjarteNilsen O, Eggebø TM(2011). Is there an increase of postpartum hemorrhage, and is severe hemorrhage associated with more frequent use of obstetric interventions? Obstetrical and Gynecological Survey. 66: 18–20. Burgos J, Rodríguez L, Otero B, Cobos P, Osuna C, CentenoMdel M, Melchor JC, Fernández-Llebrez L, Martínez-Astorquiza T(2012). Induction at 41 weeks increases the risk of caesarean section in a hospital with a low rate of caesarean sections, J. Maternal- Fetal and Neonatal Med. 25(9):1716-1718. Epub 2012 Mar 9. Investigation of an increase in postpartum haemorrhage in Canada. Shetty A, Burt R, Rice P, Templeton A(2005). Women's perceptions, expectations and satisfaction with induced labour—a questionnaire based stud. Eur. J. Obstetrics and Gynaecology and Reproductive Biol. 123: 56–61 Cooper, M; &Warland, J. (2011) Improving women’s knowledge of prostaglandin induction of labour through the use of information brochures: Aquasi-experimental study, women and birth, 24(4), 156- 64. Cheyne, H; Abhyankar, P; &Williams, B. (2012) Elective induction of labour: The problem of interpretation and communication of risks Midwifery. 28: 412-415. World Health Organization Regional Office for Europe(1985). Joint Interregional Conference on Appropriate Technology for Birth. WHO: Fortaleza, Brazil. Crowley P(1989). Effective care in pregnancy and childbirth. In Chalmers, I. Enkin, M; &Keirse, M. (eds) Post term pregnancy. Induction or surveillance?. Oxford University Press: Oxford. World Health Organization(1998). Appropriate technology for birth: a World Health Organization Perspectives. MIDRIS Midwifery Digest, 12(1),130-132. World Health Organization(2011). Recommendations for induction of labour Geneva: World Health Organization. 2011 Available from HRL the WHO reproductive library http://apps.who.int/rhl/pregnancy_childbirth/induction/guidelines_go onewardeneme_com/en/ National Institute for Health and Clinical Excellence(2008). Induction of Labour. NICE Clinical Guidelines 70 National Collaborating Centre for Women's and Children's Health, London. Stock SJ, Ferguson E, Duffy A, Ford I, Chalmers J, Norman JE(2012). Outcomes of elective induction of labour compared with expectant management: a population based study. British Med. J. 344: e2838. Euro- Peristat Project(2008). European Perinatal Health report by the Euro -Peristat Project, Data from 2004 available at http://www.europeristat.com/our-publications/european-perinatalhealth-report.html Information Services division (ISD) Scotland(2010). Birth in Scottish hospitals. Available from http://www.isdscotland.org/HealthTopics/Maternity-and-Births/Publications/2012-08-28/2012-08-28- healthybirthweight-Report.pdf?20475405455. Lumbiganon P, Laopaiboon M, Gülmezoglu AM, Souza JP, Taneepanichskul S, Ruyan P, Attygalle DE, Shrestha N, Mori R, Nguyen DH, Hoang TB, Rathavy T, Chuyun K, Cheang K, Festin M, Udomprasertgul V, Germar MJ, Yanqiu G, Roy M, Carroli G, BaThike K, Filatova E, Villar J (2008). World Health Organization Global Survey on Maternal and Perinatal Health Research Group. Method of delivery and pregnancy outcomes in Asia: the WHO global survey on maternal and perinatal health. Lancet 2010, 375(9713):490-499. http://www.ncbi.nlm.nih.gov/pubmed/20071021?dopt=Abstract&hold ing=f1000,f1000m,isrctn Hamilton BE, Martin JA, Ventura SJ(2011). Births: preliminary data for 2010. National Vital Statistics Reports, 60(2):1-25. Available from www.cdc.gov/nchs/data/nvsr/nvsr60/nvsr60_02.pdf. Ministry of health(2011). Annual statistics report, Amman: Jordan. Available from http://www.moh.gov.jo/MOH/En/publications.php Accessed on 27 of Sept. Sinclair M(1999). Midwives’ readiness to use high technology in the labour ward. Implications for Education and Training. Queen’s University Belfast (unpublished PhD thesis). Sinclair M, Crozier K(2004). Medical device raining in maternity care: part 2. British J Midwifery 12(8): 509-513. Duff C, Sinclair MK(2000). Exploring the risks associated with induction of labour: a retrospective study using the NIMATS database. J. Adv. Nursing. 31(2): 410-417. Bricker L, Luckas M(2012). Amniotomy alone for induction of labour available from http://www.summaries.cochrane.org/CD002862/amniotomy-alonefor-induction-of-labour Boulvain M, Stan CM, Irion O(2010). Membrane sweeping for induction of labour available from http://www.summaries.cochrane.org/CD000451/membranesweeping-for-induction-of-labour. Alfirevic Z, Kelly AJ, Dowswell T(2009). Oxytocin for induction of labour. Available from http://www.summaries.cochrane.org/CD003246/oxytocin-forinduction-of-labour. Alfirevic Z, Devane D, Gyte GML(2008). Comparing continuous electronic monitoring of the baby's heartbeat in labour using cardiotocography (CTG, sometimes known as EFM) with intermittent monitoring (intermittent auscultation, IA) available from http://www.summaries.cochrane.org/CD006066/comparingcontinuous-electronic-monitoring-of-the-babys-heartbeat-in-labourusing-cardiotocography-ctg-sometimes-known-as-efm-withintermittent-monitoring-intermittent-auscultation-ia Cochrane summaries: Independent high-quality evidence for health care decision making Devane D, Lalor JG, Daly S, McGuire W, Smith V(2012). Comparing electronic monitoring of the baby's heartbeat on a woman's admission in labour using cardiotocography (CTG) with intermittent monitoring available from http://www.summaries.cochrane.org/CD005122/comparingelectronic-monitoring-of-the-babys-heartbeat-on-a-womansadmission-in-labour-using-cardiotocography-ctg-with-intermittentmonitoring Parkes J, Dolk H, Hill N, Pattenden S(2001), Cerebral palsy in Northern Ireland: 1981--1993. PaediatrPerinatEpidemiol, 15(3):278-86. Jordan Population and Family Health Survey(2009). Department of Statistics. Amman Jordan. Available from http://www.dos.gov.jo/dos_home_e/main/linked-pdf/pop_2009.pdf. Central Intelligence Agency(2011). The world factbook – Jordan. Central Intelligence Agency: Washington. Amarin Z, Jaddou H, Khader Y, Okour A(2009). Maternal Mortality in Jordan, unpublished study, Jordan University of Science and Technology, Irbid-Jordan. Higher Population Council (2007-2008). Maternal Morbidity In Jordan. Retrieved. From http://www.hpc.org.jo/. Hatamleh R, Sinclair M, Kernohan WG, Bunting B(2008). Technological childbirth in northern Jordan: descriptive findings from a prospective cohort study. Evidence Based Midwifery 6(4): 130-135. World Health Organization(2004). Making pregnancy safer statistics in EMR part one. WHO: Geneva. Khresheh R. Homer C. Barclay L(2007). A comparison of labour and birth outcomes in Jordan with WHO guidelines: a descriptive study using a new birth record. Midwifery. Caughey AB, Sundaram V, Kaimal AJ, Gienger A, Cheng YW, McDonald KM, Shaffer BL, Owens DK, Bravata DM(2009). Systematic Review: Elective Induction of Labor Versus Expectant Management of Pregnancy. American College of Physicians Gülmezoglu AM, Crowther CA, Middleton P, Heatley E(2012). Induction of labour in women with normal pregnancies at or beyond term available from http://www.summaries.cochrane.org/CD004945/induction-of-labourin-women-with-normal-pregnancies-at-or-beyond-term .Jun13;6:CD004945. doi: 0.1002/14651858.CD004945.pub3.

PY - 2013/11/1

Y1 - 2013/11/1

N2 - In 1985, the World Health Organization (WHO) stated that no country should have an induction rate higher than 10%. Inappropriate use of technology in childbirth has become an issue of international concern with reports of its negative impact on maternal and infant physical and psychological wellbeing. The aim of this paper is to describe the outcome data from a prospective cohort study and how these were used to test a model of the association between birth technology for inducing birth and maternal and infant morbidity, taking into account labour type, obstetric risk, method of monitoring, oxytocin, number of ultrasound scans and type of analgesia. Data from a prospective cohort study of a convenience sample of 200 primigravida women who gave birth at Bade’a Hospital in Northern Jordan was used for this statistical analysis. The data was obtained from a self-assessment questionnaire that was used to collect data on maternal and infant outcomes during the antenatal, intra-natal and postnatal period. Data extraction was confirmed by examining the case notes. A multivariate analysis using Structural Equation Modelling with goodness of fit assessed using chi-square. Ethical approval to conduct the study was given by the University of Ulster Research Ethics Committee and the Human Subject’s Committee at the Jordan University of Science and Technology. The data analyses demonstrated that Induction of labour (IOL) was associated with use of oxytocin, electronic fetal monitoring and analgesia. A number of chains of association was found: induced labour was associated with fetal distress (p

AB - In 1985, the World Health Organization (WHO) stated that no country should have an induction rate higher than 10%. Inappropriate use of technology in childbirth has become an issue of international concern with reports of its negative impact on maternal and infant physical and psychological wellbeing. The aim of this paper is to describe the outcome data from a prospective cohort study and how these were used to test a model of the association between birth technology for inducing birth and maternal and infant morbidity, taking into account labour type, obstetric risk, method of monitoring, oxytocin, number of ultrasound scans and type of analgesia. Data from a prospective cohort study of a convenience sample of 200 primigravida women who gave birth at Bade’a Hospital in Northern Jordan was used for this statistical analysis. The data was obtained from a self-assessment questionnaire that was used to collect data on maternal and infant outcomes during the antenatal, intra-natal and postnatal period. Data extraction was confirmed by examining the case notes. A multivariate analysis using Structural Equation Modelling with goodness of fit assessed using chi-square. Ethical approval to conduct the study was given by the University of Ulster Research Ethics Committee and the Human Subject’s Committee at the Jordan University of Science and Technology. The data analyses demonstrated that Induction of labour (IOL) was associated with use of oxytocin, electronic fetal monitoring and analgesia. A number of chains of association was found: induced labour was associated with fetal distress (p

KW - Induction of Labour

KW - Infant morbidity

KW - maternal morbidity

KW - Jordan

KW - Middle East

KW - birth technology

KW - prospective study

M3 - Article

VL - 1

SP - 87

EP - 102

JO - International Journal of Basic and Clinical Pharmacology

T2 - International Journal of Basic and Clinical Pharmacology

JF - International Journal of Basic and Clinical Pharmacology

SN - 2319-2003

IS - 7

ER -