Research Article Outcomes and Associated Factors of Induction of Labor in East Gojjam Zone, Northwest Ethiopia: A Multicenter Cross- Sectional Study Moges Agazhe Assemie, 1 Getachew Tilaye Mihiret , 2 Chernet Mekonnen, 3 Pammla Petrucka, 4 Temesgen Getaneh , 2 and Wassachew Ashebir 1 1 Department of Public Health, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia 2 Department of Midwifery, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia 3 Department of Midwifery, Debre Markos Comprehensive Specialized Hospital, Debre Markos, Ethiopia 4 College of Nursing, University of Saskatchewan, Saskatoon, Canada Correspondence should be addressed to Getachew Tilaye Mihiret; getachewtilaye3223@gmail.com Received 22 February 2022; Revised 30 May 2023; Accepted 5 June 2023; Published 14 June 2023 Academic Editor: Manvinder Singh Copyright©2023MogesAgazheAssemieetal.TisisanopenaccessarticledistributedundertheCreativeCommonsAttribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Background. Induction of labor is the initiation of uterine contractions by artifcial methods once the fetus has reached viability and prior to spontaneous onset of labor with the aim of achieving vaginal delivery. Although induction of labor is a critical life• saving intervention that potentially reduces adverse pregnancy outcomes, sometimes it has undesirable consequences for the health of the mother and/or the fetus. Hence, this study aimed to evaluate the outcomes and associated factors of labor induction. Methods. An institution•based cross•sectional study was conducted from February 25 to May 25, 2020, among women undergoing induction at East Gojjam zone public hospitals in northwest Ethiopia. A structured interviewer•administered questionnaire was used to collect data from a sample of 411 mothers who were selected using a systematic random sampling technique. Stata/se ™ Version 14 statistical software was used to analyze the data. Multivariable binary logistic regression was used to determine the potential factors afecting successful labor induction. Adjusted odds ratios with their 95% CI intervals were used to declare the strength of the association, and a variable with p value <0.05 was considered to have statistical signifcance. Results. Te prevalence of successful induction of labor was 70.3% (65.6, 74.7). Te favorable Bishop score ((CI 3.90, 1.63–9.29); p value = 0.002), the intermediate Bishop score ((CI 3.53, 2.15–5.82); p value = 0.001), labor induction using oxytocin with cervical ripening ((CI 2.60, 1.21–5.63); p value = 0.015), and urban residence ((CI 0.48, 0.30–0.78); p value = 0.003) were associated with successful induction of labor. Conclusion. Tese fndings strongly suggest that cervical conditions are important determinants for the success of labor induction. Terefore, healthcare providers should confrm the favorability of the cervical status (using Bishop score) as a strict prerequisite before actual labor induction, and special consideration should be given to those pregnant women who reside in urban areas. 1.Introduction Induction of labor (IOL) refers to the artifcial initiation of uterine contractions once the fetus has reached viability and before the onset of spontaneous labor to enable vaginal delivery. It is one of the modern obstetric practices used to decrease the risk of maternal and neonatal morbidity and mortality by assisting the pregnancy to terminate, especially in the presence of a range of obstetric and medical condi• tions that threaten the continuation of pregnancy [1–3]. Induction of labor is one of the most frequently per• formed obstetric procedures in both developing and de• veloped countries, aimed at initiating uterine contractions by surgical, mechanical, and/or medical means to enhance the likelihood of a normal vaginal delivery. Unlike the medical means of induction, which include oxytocin and Hindawi Obstetrics and Gynecology International Volume 2023, Article ID 6910063, 7 pages https://doi.org/10.1155/2023/6910063