Induction of labour outcomes in a tertiary hospital: the Ghanaian cervix and misoprostol 25ug (GCAM-25 STUDY)—a cross-sectional study

Among 168 women analysed, 138/168 participants (82.1%) had vaginal delivery and 30/168 participants (17.9%) had caesarean section. The commonest indication for caesarean section was failure to progress, accounting for 40% of cases. The proportion of postdate women that had vaginal delivery within 24 h of induction was 117/168 (69.6%) with a CI of 62.1-76.5. The mean induction to vaginal delivery time was 17.39 (± 7.31) hours. There were no cases of uterine rupture, hyperstimulation, maternal mortality or still births recorded during the study. Fetal heart rate abnormalities occurred in 8.9% of participants, meconium staining of liquor occurred in twenty-five participants (14.9%). Eleven babies (6.5%) had low APGAR score (< 7) at five minutes and seventeen babies (10.1%) required NICU admission. Parity was the only significant predictor of vaginal delivery. (OR 3.14, 95% CI:1.38-7.13) CONCLUSION: The 25ug misoprostol induction protocol is effective and safe for the Ghanaian population with low risk postdate pregnancy.