Induction of Labour

Question 1

What is induction of labour?

Answer 1

It is initiation of labour via vaginal delivery before spontaneous delivery begins

Question 2

What is a ripe cervix?

Answer 2

1. Soft consistency
2. Shortening (effacement)
3. Dilation of the endocervical canal

Question 3

How do we decide whether it is appropriate to induce a patient or not and what method to use?

Answer 3

1. Use the modified bishop score

Question 4

What does a bishop score of

1. 7-8
2. 9 mean?

Answer 4

1. The induction will probably be successful

2. The induction will be so successful that it is similar to spontaneous labour

Question 5

What are the maternal factors that would lead to induction of labour?

Answer 5

1. Hypertension, pre-eclampsia
2. Preterm rupture of membranes
3. Chorioamnionitis
4. Diabetes mellitus
5. Lives far from hospital

Question 6

What are the fetal causes of induction of labour?

Answer 6

1. Fetal demise
2. Post date pregnancy
3. Growth restriction

Question 7

How many hours later can oxytocin be given after being given misoprostol?

Answer 7

6 hours later

Question 8

Why should we observe the fetal heart closely when giving prostaglandins?

Answer 8

Because it has the potential to cause uterine contractions (uterotonic activity) and not induce labour only

Question 9

What else is misoprostol used for other tha.n induction of labour?

Answer 9

Peptic ulcer treatment

Question 10

What do we use to predict the outcome of inducing labour?

Answer 10

The Mbele score