1. Induction of Labour
Dr. Hazem Al-Mandeel

2. 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)

3. 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

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

5. 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