Experiences and perceptions of misoprostol use for induction of labor among health workers in kampala, uganda; a qualitative study

Abstract

Background: Induction of labor remains a crucial intervention to reducing the burden of high• risk pregnancies. Misoprostol is one of the relatively cheaper and effective drugs used to induce labor in low resource countries, such as Uganda. In Kampala, health workers play a vital role in maternal and neonatal healthcare, yet there is a paucity of data about their experiences andperceptions regarding the use of Misoprostol for labor induction.Objective: The study explored experiences and perceptions of Misoprostol use for labor induction among Health workers in Kampala, Uganda.Methods: This was a phenomenological study design where five health facilities were selected, and twenty health workers were recruited using purposive sampling. Data was collected by using in-depth interviews with the help of an interview guide. Data was analyzed using an inductive thematic approach. The study was conducted between January 2024 and February 2024. Results: Three main themes emerged from the data: general experiences of using Misoprostol for labor induction, perceived benefits, and perceived risks. Health workers reported both positive and negative experiences with Misoprostol use. The positive experiences included successful vaginal deliveries following induction and shortened induction to delivery time as compared to alternative methods. The negative experiences included poor outcomes following induction such as uterine rupture and fetal distress. Perceived benefits included ease of storage, greater effectiveness compared to alternative methods, reduced workload, and cost effectiveness. However, drug misuse was identified as a perceived risk associated with Misoprostol use for labor induction. Conclusion; This study provides insights into health workers' experiences and perceptions of using Misoprostol for labor induction. Health workers shared varied experiences on the utilization of Misoprostol, indicating a combination of positive and negative experiences. They identified a greater number of benefits compared to risks associated with its use. Recommendations: Healthcare institutions should develop tailored guidelines to address institution-specific challenges related to Misoprostol use for labor. Regular education sessions should be conducted for health workers of all cadres to reinforce proper usage of Misoprostol. Further research is needed in basic emergency obstetric care facilities to understand their perspectives on Misoprostol use.