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The relationship between some variables with birth outcome among postdate pregnant women delivering at Maternity Teaching Hospital Sulaymaniyah City, Iraq


Atiya K. Mohammed1

 1Maternal Neonate Nursing, College of Nursing Sulaimani,University of Sulaimani, Sulaimani, Kurdistan Region- Iraq

Original: 26 March 2020       Revised: 15 April 2020     Accepted: 17 May 2020        Published online: 20 June 2020  

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Continuation of pregnancy may sometimes be life threatening for the mother and the fetus if the indication is frequently prolonged. Sometimes, it is necessary to bring on labor artificially because of safety concerns for the mother and her baby. A descriptive observational study performed in 200 postdate pregnant women who attended to the delivery room for induction of labor. The Purposive data collection took 3 consecutive months starting from February 28th,  2019 until May 26th 2019. A questionnaire and a checklist were designed for the purpose of the study and Bishop score, APGAR and patient’s chart were used. Content and Face Validity of the instrument was established and the reliability was measured by using Cronbach’s alpha = 0.96. Formula for research, instrument. Descriptive & inferential statistical used for analysis  data  it was done with the SPSS version 22.0 software. Women’s education, body mass index and method of delivery with mode of delivery had significant association. The overall caesarean section rate in this study was quartered. Half of them had a variety of complications and 44% of newborn needed admission to the neonatal intensive care unit. The rate of cesarean section was higher among participant were induced with misoprostol than who were induced by oxytocin. The statistically no significant relationship between the birth outcome with socio-demographic factors (age, residency, occupation and educational level), gravidity and Bishop score and the mode of delivering was determined in the study

Key Words: Birth outcome, postdate pregnant women, Sulaimani City/Iraq


[1] Keith Edmonds, "textbook of Obstetrics & Gynaecology", 7nd Edition, London, chapter 23, p. 205. (2007).

[2] Shyni J.R. "A study to evaluate the effectiveness of structured teaching program on knowledge regarding induction of labor among finally year B.SC Nursing students at selected nursing college". Tumkur,  572:106. (2009).

[3] World Health Organization (WHO) "Recommendations for Induction of labor". (2011).

[4] American College of Obstetrics and Gynecology’s ACOG. "Induction of Labour; Obstet gynecol". Vol. 114, pp. 386-397. (2009).

[5] Fawol Bukola, et al. "Unmet need for induction of labor in Africa: secondary analysis from the 2004-2005 WHO Global Maternal and Perinatal Health Survey (A cross-sectional survey)". BMC public health, 12.1: 1. (2012).

[6] American College of Obstetricians and Gynecologists ACOG Practice Bulletin. "Management of Postterm Pregnancy. Clinical management guidelines for obstetricians-gynecologists". Vol. 104, No. 3, pp. 639-646. (2004).

[7] Royal College of Obstetricians and Gynaecologists; "Induction of labour. RCOG Guideline", (2001).

[8] Olesen, Annette Wind; Basso, Olga; Olsen, Jorn. "Risk of recurrence of prolonged pregnancy". BMJ. 326.7387:476. (2003).

[9] Sanchez-Ramos, Luis, et al. "Labor Induction Versus Expectant Management for Postterm Pregnancies: A Systematic Review With Metaanalysis". Obstetrics and Gynecology. Vol. 101, No. 6, pp.1312-1318. (2003).

[10]William, "Textbook of obstetrics". Chapter 22, pp. 433-434. (2005).

[11] Njagi, J. M. "Indications and pregnancy outcomes after induction of labour at Kenyatta National Hospital", [M. Med Thesis]. University of Nairobi, (2002).

[12] Asmaa Mohamed Salem. "Fetal middle cerebral and umbilical arteries Doppler velocimetry and amniotic fluid volume in the surveillance of postterm pregnancy". Faculty of Medicine, Cairo University, (2012).

[13] Atiya K. Mohammed. "Maternal satisfaction regarding quality of nursing care during labor and delivery in Sulaimani teaching hospital". International Journal of Nursing and Midwifery. Vol. 8, No. 3, pp. 18-27. (2015).

[14] Oberg, Anna S., et al. "Maternal and fetal genetic contributions to postterm birth: familial clustering in a population-based sample of 475,429 Swedish births". American journal of epidemiology. Vol. 244, pp. 531-537. (2013).

[15] Eden, Elizabeth. "A Guide to Pregnancy Complications". Retrieved, pp. 11-13. (2008).

[16] Masan Jesang Evalyne. "Outcomes Of Induction Of Labor In Women Who Delivered At Kenyatta National Hospital".PhD Thesis. University of Nairobi. (2013).

[17] Esiromo Amase Marian. "Outcome of pharmacological induction of labor at or near term at Kenyatta national hospital". p. 58. (2011).

[18] Onyambu, B. "Induction of labour with prostaglandin E2 pessaries at the Aga Khan University Hospital", [M. Med Thesis]. University of Nairobi, (2001).

[19] Gibbons, Luz, et al. "Inequities in the use of cesarean section deliveries in the world". American journal of obstetrics and gynecology. Vol. 206, No. 4, pp. 331- 350. (2012).

[20] Bishop Edward H. "Pelvic scoring for elective induction". Obstetrics and Gynecology. Vol.  24, No. 2, pp. 266-268. (1964).

[21] Hatfield, Ann S., Sanchez Ramos Luis, Kaunitz, Andrew M. "Sonographic cervical assessment to predict the success of labor induction: a systematic review with metaanalysis". American journal of obstetrics and gynecology. Vol. 197, No. 2, pp. 186-192. (2007).

[22] Harris JR, Bruce A., et al. "The unfavorable cervix in prolonged pregnancy". Obstetrics & Gynecology. Vol. 62, No. 2, pp. 171-174. (1983).

[23] Chandra, Sujata, et al. "Transvaginal ultrasound and digital examination in predicting successful labor induction". Obstetrics & Gynecology. Vol. 98, No. 1, pp. 2-6. (2001).

[24] Rane, S. M., et al. "Preinduction sonographic measurement of cervical length in prolonged pregnancy: the effect of parity in the prediction of inductiontodeliver interval". Ultrasound in obstetrics and gynecology. Vol. 22, No. 1, pp. 40-44. (2003).

[25] Divon, Michael Y., et al. "Male gender predisposes to prolongation of pregnancy". American journal of obstetrics and gynecology. Vol. 187, No. 4, pp. 1081-1083. (2002).

[26] Kitlinski Laczna, M., et al. "Skewed fetal gender distribution in prolonged pregnancy: a fallacy with consequences". Ultrasound in obstetrics and gynecology. Vol. 21, No. 3, pp. 262-266. (2003).

[27] Caughey, Aaron B., Musci, Thomas J. "Complications of term pregnancies beyond 37 weeks of gestation". Obstetrics & Gynecology. Vol. 103, No. 1, pp. 57-62. (2004).

[28] Stock, Sarah J., et al. "Outcomes of elective induction of labour compared with expectant management". population based study. Vol. 344, pp. 1-13. (2012).

[29] Yawn, Barbara P., et al. "Temporal changes in rates and reasons for medical induction of term labor, 1980-1996". American journal of obstetrics and gynecology. Vol. 184, No. 4, pp. 611-619. (2001).

[30] Vahratian, Anjel, et al. "Labor progression and risk of cesarean delivery in electively induced nulliparas". Obstetrics and Gynecology-New York. Vol. 105, No. 4, pp. 698-704. (2005).

[31] Mercer, Brian; Pilgrim, Paula; Sibal, Baha. "Labor induction with continuous low doseoxytocin infusion: a randomized trial". Obstetrics and Gynecology. Vol. 77, No. 5, pp. 659-663. (1991).

[32] Masan, Jesang Evalyne. "Outcomes Of Induction Of Labor In Women Delivered At Kenyatta National Hospital". PhD Thesis. University of Nairobi. (2013).

[33] Laughon, S. Katherine, et al. "Using a simplified Bishop score to predict vaginal delivery". Obstetrics and Gynecology. Vol. 117, No. 4. pp. 805. (2011).