Induction Of Labor

Question 1

•Use of artificial methods to stimulate
uterine contractions before the
spontaneous onset of labor, with or
without ruptured fetal membranes, for
the purpose of accomplishing birth

Augmentation of labor

Answer 1

Induction of labor

Question 2

Indications

Answer 2

• Fetal AOG is 39 weeks or
established fetal lung maturity

• Gestational or Chronic Hypertension

• Preeclampsia

Question 3

Contraindications

Answer 3

Transverse fetal position

• Umbilical Cord prolapse

• Active genital herpes infection

• Placenta Previa

• Women with previous myomectomy (fibroid removal) from inside the uterus

Question 4

A total score of ___ or higher indicates that the cervix is ready for birth

Answer 4

8

Question 5

Prerequisites

Answer 5

1. Fetus is in longitudinal lie
2. Cervix is ripe
3. Presenting part is engaged
4. No CPD
5. Fetal maturity

Question 6

•A primary line of 1L of electrolyte
solution (e.g. Lactated Ringer’s solution)
is started IV.

•10 “u” of Oxytocin (Pitocin) are added
to secondary line of 1L IVF (D5LR); the
mixture will contain 10 mU of oxy/ml
(1mU/min=6ml/hr)

•After the primary infusion is started, the
Pitocin solution is piggybacked into the
primary tubing port closest to the
catheter insertion

Answer 6

Pitocin Infusion

Question 7

PITOCIN INFUSION:

• The goal for induction is to achieve stable contractions every _________ that last ________

Answer 7

1.) 2-3 minutes

2.) 40-60 seconds

Question 8

A variety of more natural, noninvasive methods which include:

Answer 8

•nipple stimulation
•Exercise
•Sex
•Homeopathy and herbs
•Castor oi