Induction of labour Flashcards
1
Q
Indications and contraindications
A
>41 weeks gestation Preeclampsia Chorioamnionitis IUGR Maternal diabetes type 1/2 Placental abruption PROM
CI: anything requiring C/S delivery
2
Q
Methods of pre-induction cervical ripening
A
Sweeping of amniotic membrane
Prostaglandin pessary e.g misoprostol
Oxytocin infusion
Artificial rupture of membranes (can do if bishops score at least 7)
3
Q
Contraindications for misoprostol
A
Previous C/S (risk of uterine rupture)
Severe asthma or renal disease due to water retention
4
Q
Methods of initiation of contractions or augmentation in failure to progress
A
Artificial rupture of membranes within 1 hour of labour onset
Oxytocin infusion
Misoprostol
5
Q
Risk factors for post term
A
Age >40 Obesity Nulliparous Previous history FH
6
Q
Risks of post term delivery
A
Stillbirth
Placental abruption
Fetal hypoglycaemia
Macrosomia