Induction of Labour Dr. Hazem Al-Mandeel.

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Presentation transcript:

Induction of Labour Dr. Hazem Al-Mandeel

Induction of Labour (IOL) Definition: is the process of starting labour by uterine contraction It should be used when delivery is safer for either the mother or the fetus IOL vs. Augmentation of labour Prerequisites for IOL: fetal lie and presentation, tone of uterus, and ripeness of the cervix (Bishop’s score)

Indications of IOL Suspected fetal compromise (e.g. IUGR) Postterm or postdates pregnancy Medical complications of pregnancy (e.g. HTN / DM) If planned delivery is necessary for either maternal or fetal interest Prelabour rupture of membranes at term

Contraindication of IOL antepartum hemorrhage (esp. placenta previa) Transverse lie known cephalopelvic disproportion Active genital herpes Any contraindication for vaginal delivery

Process of IOL Discuss the process with the mother (+S/E) Methods: 1. Sweeping of membranes 2. Prostaglandin (E2 or E1) 3. Oxytocin  artificial rupture of membranes Complications: failure  caesarean section, uterine hyperstimulation, & cord prolapse

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