Induction of Labor Quiz

Induction of Labor: Overview, Reasons, Risks, and Methods

• The video presentation on induction of labor is created by a team of physicians and nurses at the IWK.
• The goal is to provide information on induction of labor, including what to expect at the appointment, common reasons, steps, and associated risks.
• At the appointment, health and pregnancy history will be reviewed, cervical exam will be done, and the rationale for induction will be discussed.
• Common reasons for induction include post dates, rupture of membranes, Group B strep, diabetes, high blood pressure, preeclampsia, older age pregnancies, IVF, baby's heart rate, amniotic fluid, baby size, and twin pregnancies.
• The uterus is where the baby develops, and the cervix is the opening between the uterus and vagina.
• There are two steps to induction: preparing the cervix for labor and starting uterine contractions.
• The options for preparing the cervix include mechanical with a balloon catheter or medications with prostaglandin (serbidyl or mesoprostol).
• The balloon catheter is the fastest method, while cervidil can be done as an outpatient, and mesoprostol requires admission to the hospital.
• Once the cervix is favorable, the membranes can be ruptured to release amniotic fluid containing prostaglandins, and oxytocin can be given through an IV to start or increase contractions.
• Risks of induction include too much contraction, bleeding after birth, increased risk of cesarean section, induction failure, uterine rupture, and infection.
• The risk of induction must be balanced with the risks of continuing the pregnancy.
• Inductions can take one to three days, and there are other ways to encourage labor to start on its own, such as a membrane sweep.