Background: Failed induction of labour is one of the most important indications for cesarean
section and it appears to have contributed to the current trends in caesarean rates. The aim of this
study is to identify the pregnancy outcome in patients who had emergency caesarean section after
failed induced labour Materials and Methods: Retrospective descriptive case series study. It was
conducted in Tripoli Medical Centre (TMC) Tripoli/Libya during the year 2011. Sixty-one
pregnant women were randomly selected; all the cases underwent emergency caesarean section
after failed induction. Result:A total of 61 patients were included in the study. The mean age of
the patients was 30.4 ± 5.7. The majority of the patients in this study were multigravidous (82%),
multiparous (75.5%) and had no previous abortion (67.5%). The mean gestational age was 38.32
± 2 weeks. With regards the causes of failure of induction and the prompt need for emergency
cesarean section, the current study showed that the most frequent cause was fetal distress with a
frequency of 39.5%, the second cause was failure in progress of labor 16.4% followed by
obstructed labor with a frequency of 14.7% as well as meconium leaking with the same
frequency 14.7%. The majority of the neonates had normal birth weight (75.6%). The males were
46% and the females were 54%. Babies who kept with their mothers were 32.7%, while babies
who delivered admitted to the nursery were 67.3%. Conclusion: In conclusion, there are many
maternal and fetal factors that associated with failed induction and the prompt need for
emergency cesarean section which include; maternal age, multigravidity, multiparity, term
pregnancy and nursery admission. The most frequent indications for emergency cesarean
section after failed induction was due to fetal distress followed by failure of progress of labour
then obstructed laour and meconium leaking.

download pdf button 11