Knowledge, Perception and Women's Experience on Induction of Labour – A Questionnaire-based   observational study in South India

Abstract Background Induction of labour is an indispensable obstetric procedure.Very few studies have concentrated on women;s experience of induction of labour. Its been reported that women generally have a negative experience with Induction...There is a lack of data regarding the experience of labour induction among Indian women. .We carried out this study womens experience on the induction of labour in this part of South Asia. This study highlights the unmet need of women undergoing induction of labour and changes obstetricians can implement in their day to day practice to make childbirth a positive experienceMethods The aim was to study the Knowledge, Perception and Women’s experience on Induction of labour and to compare this labour experience with women who have come in spontaneous labour. During the study period 300 women who were induced, formed the study group, every consecutive women who came in spontaneous labour formed the control group. Validated. Questionnaires were given after delivery for both induced and to women who delivered spontaneously. Ethical clearance was obtained by the institution (MUEC/13/2015-2016) Data were analysed using SPSS 16. Percentage was used to summarize the categorical data, Chi-square test for associations and Independent t test to compare visual analogue scoresResults Out of 300 women who were induced 65%(196) were aware of induction .84% (249) women knew the reason for their induction.57%(170/300) were aware of benefits of induction of labour, whereas only 15% (45/300) were informed about adverse effects .54% (162/300) of women felt analgesia given was not satisfactory.61 %(177) of women had positive, and 14 %(40) had negative attitude towards induction.32 %(94)spontaneously labouring women felt labour unbearable compared to 45% (126) induced women which is statistically significant (p value 0.001). While comparing the two groups, induced women felt more sad (p<0.001) and tired (p=0.01) compared to women in spontaneous group.Discussion Induced women were not well informed about adverse effects and felt labour was unbearable .Induced women were more tired and sad at the end of labour..Women should be provided with realistic information,and better analgesia in labor Conclusion Induced women were not well informed about adverse effects and felt labour was unbearable .Induced women were more tired and sad at the end of labour. Women should be offered better analgesia in labour. Good counselling and compassionate care from healthcare workers may increase the satisfaction levels of induced women.