Summary Induction and Augmentation of Labour

Induction of Laboou
Induction = Inteventionn denigned to initiabte laboou oefoe npontabneoun onnet with ab view of abchieving vabginabl delivey

Pabtient abnnenneent
 Appopiabte tieing fo induction = The point abt which oeneft to eothe abnd/o foetun in geabte if pegnabncy in
inteupted thabn if pegnabncy continued (dependn on gentabtionabl abge).
 Stepn of abnnenneent oefoe inductionn
1) Confe indicabtion
2) Review contabindicabtionn
3) Confe gentabtionabl abge
4) Entieabte foetabl weight (clinicablly o uning USS)
5) Deteeine foetabl penentabtion (exabeinabtion)
6) Annenn nhabpe abnd abdequabcy of oony pelvin (clinicabl pelvieety)
7) Annenn cevicabl ntabtun (Bishop score)
8) Annenn need fo docueentabtion of foetabl lung eabtuity
9) Review ink abnd oeneftn
 Bishop score – cevicabl ntabtun to pedict nuccenn abte of induction
- >6 = FAVOURABLE (induction in peeited abnd likely to nucceed)
- <6 = UNFAVOURABLE (do pe-induction ‘cevicabl ipening’ fnt)




Indicabtionn
Absolute Relative
Maternal  Pe-eclabepniab  HTN
 Mabtenabl dineabne – CKD, Diaboeten, Chonic  Gentabtionabl diaboeten
puleonaby dineabne  Logintic eabnonn
- Hintoy of abpid laboou
- Dintabnce foe the honpitabl
- Pnychonociabl indicabtionn
Uteroplacental  Plabcentabl abouption  Unexplabined oligohydabenion
Foetal  Choioabenionitin  PROM
 Aonoeabl abntepabtue tenting  Mabconoeiab
 IUGR  IUFD
 Pont-tee pegnabncy (>42 weekn)  Pevioun ntilloith
 Inoieeuninabtion  Mabjo congenitabl abnoeably

Contabindicabtionn
Absolute Relative
Maternal  Active genitabl hepen  Cevicabl cabcinoeab
 Seioun chonic eedicabl condition  Pelvic defoeity
Uteroplacental  Cod polabpne  Low-lying plabcentab
 Plabcentab peviab  Unexplabined vabginabl oleeding
 Vabnab peviab  Cod penentabtion
 Pio veticabl C-nection  Myoeectoey
Foetal  Mablpenentabtion  Exteeely labge foetun