Study Guide For
Labor and Delivery II
Clinical Medicine III
(2026-2027)
** 100% Guaranteed Pass
** Expert-Verified Explanation
** Questions with Verified Answer
** Latest Edition | Updated
, Medical Indications of Induction of Labor - Between Advanced maternal age, IVF, Elevated BMI, Gestational Diabetes
39-40 Weeks ** Increased risk factors for stillbirth
Medical Indications of Induction of Labor - Prior to 39 - Preeclampsia/gestational HTN
Weeks - Multiple gestation
- Intrauterine growth restriction
Bishop Score Chart Helps determine how labor is induced, the lower the number = Cervical
ripening indicated
- Based on SVE, dilation, position, effacement, consistency, fetal position
Bishop Score Chart - 0-5 Cervix needs ripening/induction (unfavorable cervix)
Bishop Score Chart - 6-8 Moderately favorable cervix
Bishop Score Chart - 9 or above Very favorable, doesn't need ripening/induction
Cervical Ripening Softening of the cervix
Methods to Induce Labor - Prostaglandins
- Mechanical dilation
- Membrane stripping
Cervical Ripening - Prostaglandins Control contractions/relaxation of smooth muscle
• Cervidil (dinoprostone) - vaginal
• Cytotec (misoprostol) - vaginal, oral (rectal following delivery an option)
Prostaglandins - CI Prior cesarean section scar
Cervical Ripening - Mechanical Dilation • Cervical balloon
• Foley catheter
*** Still need contractions to continue with dilation!
Cervical Balloon Helps shorten and open the cervix
Labor and Delivery II
Clinical Medicine III
(2026-2027)
** 100% Guaranteed Pass
** Expert-Verified Explanation
** Questions with Verified Answer
** Latest Edition | Updated
, Medical Indications of Induction of Labor - Between Advanced maternal age, IVF, Elevated BMI, Gestational Diabetes
39-40 Weeks ** Increased risk factors for stillbirth
Medical Indications of Induction of Labor - Prior to 39 - Preeclampsia/gestational HTN
Weeks - Multiple gestation
- Intrauterine growth restriction
Bishop Score Chart Helps determine how labor is induced, the lower the number = Cervical
ripening indicated
- Based on SVE, dilation, position, effacement, consistency, fetal position
Bishop Score Chart - 0-5 Cervix needs ripening/induction (unfavorable cervix)
Bishop Score Chart - 6-8 Moderately favorable cervix
Bishop Score Chart - 9 or above Very favorable, doesn't need ripening/induction
Cervical Ripening Softening of the cervix
Methods to Induce Labor - Prostaglandins
- Mechanical dilation
- Membrane stripping
Cervical Ripening - Prostaglandins Control contractions/relaxation of smooth muscle
• Cervidil (dinoprostone) - vaginal
• Cytotec (misoprostol) - vaginal, oral (rectal following delivery an option)
Prostaglandins - CI Prior cesarean section scar
Cervical Ripening - Mechanical Dilation • Cervical balloon
• Foley catheter
*** Still need contractions to continue with dilation!
Cervical Balloon Helps shorten and open the cervix
