induction of labour

Question 1

indications

Answer 1

overdue 
prelabour rupture membranes
PET
IUGR
obstetric cholestasis
diabetes 
IUFD

Question 2

Bishop’s socre

Answer 2

score 8 preducts successful IOL

Question 3

membrane sweep

Answer 3

insert finger into cervix
if successful onset labour 48hrs

used fro 40wks to attempt initiate labour in overdue women

Question 4

Vaginal prostaglandin E2 (dinoprostone)

Answer 4

gel, tablet or pessary

stimulates cervix and uterus to cause onset labour

Question 5

cervical ripening balloon

Answer 5

to dilate cervix

Question 6

main complication of IOL using prostaglandins

Answer 6

uterine hypersitumuation

Question 7

uterine hyperstimulation

Answer 7

prolonged and frequent contractions causing fetal distress and compromise

Question 8

uterine hyperstimulation - criteria

Answer 8

contractions >2mins

> 5 contractions every 10mins

Question 9

uterine hyperstimulation - can lead to

Answer 9

fetal compromise –> hypoxia, acidosis
emergency CS
uterine rupture

Question 10

uterine hyperstimulation - Mx

Answer 10

remove vaginal prostaglandins, stop oxytocin

tocolysis with terbutaline