Induction Of Labor PDF

Induction of Labor Indications for inductions Delivery before the onset of spontaneous labor is indicated when maternal/fetal risks associated with continuing the pregnancy are thought to be at least as great as the maternal/fetal/newborn risks associated with delivery Examples of com...

Induction of Labor Indications for inductions Delivery before the onset of spontaneous labor is indicated when maternal/fetal risks associated with continuing the pregnancy are thought to be at least as great as the maternal/fetal/newborn risks associated with delivery Examples of common conditions where induction is often medically/obstetrically indicated include, but are not limited to: ○ Postterm pregnancy ○ Prelabor rupture of membranes ○ Hypertensive disorders (preeclampsia, eclampsia, HELLP, gestational HTN, chronic HTN) ○ Diabetes ○ Fetal growth restriction ○ Twins ○ Chorioamnionitis ○ Placental abruption ○ Oligohydramnios ○ Cholestasis ○ Alloimmunization with fetal anemia ○ Fetal demise Bishop Score The Bishop score is the cervical assessment system most commonly used in clinical practice in the US to predict likelihood of successful labor induction. Score is based on the following: ○ Station of the presenting part ○ Dilation ○ Effacement ○ Consistency ○ Position Higher bishop scores are associated with a higher chance of vaginal birth, lower scores are associated with higher chance of cesarean birth Most obstetricians consider a score >/= 6 as favorable,