induction of labour

Question 1

indications for induction of labour

Answer 1

over due date
foetal growth restriction
pre-eclampsia
obstetric cholestasis
pre-labour rupture of membranes
existing diabetes
intra-uterine foetal death

Question 2

which score can be used to predict how successful an induction will be

Answer 2

bishop scale
>8 suggests successful labour

Question 3

what are some methods of induction

Answer 3

membrane sweep
vaginal prostaglandins
cervicale ripening balloon
artifiscial rupture of membranes via oxytocin infusion

Question 4

what is the main complication to be aware of in induction of labour

Answer 4

uterine hypersensitivity
prolonged and frequent contractions

Question 5

complications of uterine hypersensitivity

Answer 5

foetal hypoxia and acidosis
emergency c-section
uterine rupture

Question 6

management of uterine hypersensitivity

Answer 6

removal of vaginal prostaglandins/ stopping oxybutynin

tocolysis with terbutaline

Question 7

what is first line management for failure to progress in labour

Answer 7

oxytocin
started at a low rate and titrated up over 30 minute intervals
aiming for 4-5 contractions per 10 minutes