Clinical profile and prevalence of women undergoing labor induction under unfavorable conditions at Mont-Amba Hospital Center, Kinshasa, Democratic Republic of the Congo
Introduction Despite advances in obstetric care, the practice of artificial induction of labour under unfavourable conditions remains prevalent in low-resource settings, posing heightened risks to maternal and neonatal health. In the Democratic Republic of the Congo (DRC), limited data exist reg...
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Orapuh, Inc.
2025-07-01
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| author | Jeannette Imani Nyamungu Bertine Ekeni Mbongopasi Jule Moti Kangite Monizi Mawunu Joséphine Kankolongo Ntumba Jean-Paul Koto-Te-Nyiwa Ngbolua Leyka Basua Babintu Mukandu Françoise Kaj Malonga |
| author_facet | Jeannette Imani Nyamungu Bertine Ekeni Mbongopasi Jule Moti Kangite Monizi Mawunu Joséphine Kankolongo Ntumba Jean-Paul Koto-Te-Nyiwa Ngbolua Leyka Basua Babintu Mukandu Françoise Kaj Malonga |
| author_sort | Jeannette Imani Nyamungu |
| collection | DOAJ |
| description |
Introduction
Despite advances in obstetric care, the practice of artificial induction of labour under unfavourable conditions remains prevalent in low-resource settings, posing heightened risks to maternal and neonatal health. In the Democratic Republic of the Congo (DRC), limited data exist regarding the clinical profile, indications, and outcomes of such inductions.
Purpose
This study investigated the prevalence, determinants, and obstetric outcomes associated with artificial induction of labour under unfavourable conditions at the Mont Amba Hospital Centre in Kinshasa, DRC.
Methods
A retrospective cross-sectional study was conducted using maternity records of 336 women who delivered between January and June 2023. Data on socio-demographic, obstetric, and clinical characteristics were extracted and analysed using descriptive statistics, bivariate analysis, and binary logistic regression.
Results
The prevalence of artificial induction of labour was 26.8%. Significant predictors included a scarred uterus (OR = 3.1; 95% CI: 1.08–9.18), gestational hypertension (OR = 9.2; CI: 2.93–29.16), appendicitis or pelvic cyst history (OR = 7.5; CI: 2.64–21.87), grand multiparity (OR = 11.0; CI: 4.66–26.33), poor antenatal care attendance (<4 visits) (OR = 6.2; CI: 1.45–26.83), placenta previa (OR = 14.7; CI: 4.46–48.80), intrauterine growth restriction (IUGR) (OR = 16.0; CI: 5.36–47.81), and post-term pregnancy (OR = 13.2; CI: 4.00–43.95). Induction often occurred despite unfavourable cervical conditions, with a caesarean section rate of 39.25%.
Conclusion
Artificial induction of labour is common at Mont Amba Hospital and is frequently performed under suboptimal conditions, contributing to avoidable maternal and neonatal risks. The findings underscore the urgent need to strengthen antenatal care services, standardise induction protocols, and enhance risk-based obstetric management in resource-limited settings.
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| format | Article |
| id | doaj-art-dc96e83461634320a598801334f2b4cb |
| institution | DOAJ |
| issn | 2644-3740 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Orapuh, Inc. |
| record_format | Article |
| series | Orapuh Journal |
| spelling | doaj-art-dc96e83461634320a598801334f2b4cb2025-08-20T02:48:02ZengOrapuh, Inc.Orapuh Journal2644-37402025-07-016810.4314/orapj.v6i8.76Clinical profile and prevalence of women undergoing labor induction under unfavorable conditions at Mont-Amba Hospital Center, Kinshasa, Democratic Republic of the Congo Jeannette Imani Nyamungu0Bertine Ekeni Mbongopasi1Jule Moti Kangite2Monizi Mawunu3Joséphine Kankolongo Ntumba4Jean-Paul Koto-Te-Nyiwa Ngbolua5Leyka Basua Babintu Mukandu6Françoise Kaj Malonga7Higher Institute of Medical Techniques of Kinshasa, Kinshasa, Democratic Republic of the CongoHigher Institute of Medical Techniques of Bandundu, Bandundu, Democratic Republic of the Congo Higher Institute of Medical Techniques of Kinshasa, Kinshasa, Democratic Republic of the CongoPolytechnic Institute of Kimpa Vita University, AngolaUniversity of Kinshasa, Kinshasa, Democratic Republic of the CongoUniversity of Kinshasa, Kinshasa, Democratic Republic of the CongoHigher Institute of Medical Techniques of Kinshasa, Kinshasa, Democratic Republic of the CongoUniversity of Lubumbashi, Lubumbashi, Democratic Republic of the Congo Introduction Despite advances in obstetric care, the practice of artificial induction of labour under unfavourable conditions remains prevalent in low-resource settings, posing heightened risks to maternal and neonatal health. In the Democratic Republic of the Congo (DRC), limited data exist regarding the clinical profile, indications, and outcomes of such inductions. Purpose This study investigated the prevalence, determinants, and obstetric outcomes associated with artificial induction of labour under unfavourable conditions at the Mont Amba Hospital Centre in Kinshasa, DRC. Methods A retrospective cross-sectional study was conducted using maternity records of 336 women who delivered between January and June 2023. Data on socio-demographic, obstetric, and clinical characteristics were extracted and analysed using descriptive statistics, bivariate analysis, and binary logistic regression. Results The prevalence of artificial induction of labour was 26.8%. Significant predictors included a scarred uterus (OR = 3.1; 95% CI: 1.08–9.18), gestational hypertension (OR = 9.2; CI: 2.93–29.16), appendicitis or pelvic cyst history (OR = 7.5; CI: 2.64–21.87), grand multiparity (OR = 11.0; CI: 4.66–26.33), poor antenatal care attendance (<4 visits) (OR = 6.2; CI: 1.45–26.83), placenta previa (OR = 14.7; CI: 4.46–48.80), intrauterine growth restriction (IUGR) (OR = 16.0; CI: 5.36–47.81), and post-term pregnancy (OR = 13.2; CI: 4.00–43.95). Induction often occurred despite unfavourable cervical conditions, with a caesarean section rate of 39.25%. Conclusion Artificial induction of labour is common at Mont Amba Hospital and is frequently performed under suboptimal conditions, contributing to avoidable maternal and neonatal risks. The findings underscore the urgent need to strengthen antenatal care services, standardise induction protocols, and enhance risk-based obstetric management in resource-limited settings. https://orapuh.org/ojs/ojs-3.1.2-4/index.php/orapj/article/view/424Artificial induction of labourrisk factorsMont-Amba Hospitalobstetricsunfavourable conditions |
| spellingShingle | Jeannette Imani Nyamungu Bertine Ekeni Mbongopasi Jule Moti Kangite Monizi Mawunu Joséphine Kankolongo Ntumba Jean-Paul Koto-Te-Nyiwa Ngbolua Leyka Basua Babintu Mukandu Françoise Kaj Malonga Clinical profile and prevalence of women undergoing labor induction under unfavorable conditions at Mont-Amba Hospital Center, Kinshasa, Democratic Republic of the Congo Orapuh Journal Artificial induction of labour risk factors Mont-Amba Hospital obstetrics unfavourable conditions |
| title | Clinical profile and prevalence of women undergoing labor induction under unfavorable conditions at Mont-Amba Hospital Center, Kinshasa, Democratic Republic of the Congo |
| title_full | Clinical profile and prevalence of women undergoing labor induction under unfavorable conditions at Mont-Amba Hospital Center, Kinshasa, Democratic Republic of the Congo |
| title_fullStr | Clinical profile and prevalence of women undergoing labor induction under unfavorable conditions at Mont-Amba Hospital Center, Kinshasa, Democratic Republic of the Congo |
| title_full_unstemmed | Clinical profile and prevalence of women undergoing labor induction under unfavorable conditions at Mont-Amba Hospital Center, Kinshasa, Democratic Republic of the Congo |
| title_short | Clinical profile and prevalence of women undergoing labor induction under unfavorable conditions at Mont-Amba Hospital Center, Kinshasa, Democratic Republic of the Congo |
| title_sort | clinical profile and prevalence of women undergoing labor induction under unfavorable conditions at mont amba hospital center kinshasa democratic republic of the congo |
| topic | Artificial induction of labour risk factors Mont-Amba Hospital obstetrics unfavourable conditions |
| url | https://orapuh.org/ojs/ojs-3.1.2-4/index.php/orapj/article/view/424 |
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