title: Women's concerns and satisfaction with induced labour at term in a Nigerian population.
abstract: OBJECTIVE
  To explore the concerns, experiences and satisfaction of women who had induction of labour at term
  
  
  METHODS
  A cross-sectional study conducted in Nigeria, among 252 pregnant women who had induction of labour at term using a two part pre and post induction questionnaire.
  
  
  RESULTS
  Concerns expressed by the women prior to labour induction were the fear of caesarean delivery (16.6%), labour pains (15.1%) and an adverse foetal or maternal outcome (4.8%). Overall, 180 women (71.4%) expressed satisfaction with the induction process while 72 (28.6%) were dissatisfied. Comparatively, a higher mean age and shorter induction-delivery interval (470±180 vs 660±370, p<0.001) was significantly associated with maternal satisfaction with induced labour. It was also associated with significantly lower caesarean section rates (13.3% vs 61.1%, p=0.001) and composite maternal or foetal morbidities. The common reasons for dissatisfaction with induced labour included caesarean delivery (13.4%), painful labour (8.7%) while 2.4% felt the duration of the procedure was too long.
  
  
  CONCLUSIONS
  This study suggests that a substantial number of pregnant women who had induction of labour had unsatisfactory experience. The reasons for dissatisfaction should be addressed by physicians in order to promote a positive psycho-emotional experience of pregnancy and childbirth.
authors: Department of Obstetrics and Gynaecology, University of Benin Teaching Hospital, Benin City, Edo state, Nigeria.
authors: Michael
authors: M
authors: Ezeanochie
authors: Biodun
authors: B
authors: Olagbuji
authors: Adedapo
authors: A
authors: Ande
mesh_terms: D000328:Adult; D000367:Age Factors; D002585:Cesarean Section / Q000523:psychology; D003430:Cross-Sectional Studies; D005239:Fear; D005260:Female; D006801:Humans; D048949:Labor Pain / Q000209:etiology / Q000523:psychology; D007751:Labor, Induced / Q000009:adverse effects / Q000523:psychology*; D009549:Nigeria; D007744:Obstetric Labor Complications / Q000523:psychology; D017060:Patient Satisfaction; D011247:Pregnancy; D011795:Surveys and Questionnaires; D047929:Term Birth; D013997:Time Factors; D055815:Young Adult