Induction of Labor

Question 1

Indication of induction

Answer 1

IUGR
IUFD
PET
Post term pregnancy
PROM
Chorioamnitis
Fetal anomalies
DM
Placental abruption

Question 2

Contraindications:

Answer 2

Previous classical C/S or 2 LS
Abnormal CTG
Contracted pelvis
Placenta previa
Transverse or oblique lie
Grand multiparty
Breech presentation
Head not engaged
Cord prolapse

Question 3

Predicting success induction of labor

Answer 3

When the cervix is ripe at time of induction

Question 4

Complications of induction:

Answer 4

Failure and ++ risk for CS
Uterine hyperstimulation and risk for uterine rupture and fetal distress
Prematuritry
Infection
More painful so require more analgesics
Prolonged labor and ++ risk for instrumental delivery and CS and PPH