Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-cd9895bd7-dzt6s Total loading time: 0 Render date: 2024-12-23T07:51:28.755Z Has data issue: false hasContentIssue false

Chapter 16 - Induction of Labor at Term

from Section 2 - Labor and Delivery

Published online by Cambridge University Press:  23 February 2023

By
Genevieve Eastabrook  and
Amira El-Messidi
Edited by
Amira El-Messidi  and
Alan D. Cameron
Amira El-Messidi
Affiliation:
McGill University, Montréal
Alan D. Cameron
Affiliation:
University of Glasgow
Get access

Summary

You are covering the obstetric practice of a colleague who just left on a two-month leave. A 28-year-old primigravida with a spontaneous singleton at 35+1 weeks’ gestation presents for a routine prenatal visit. Pregnancy dating was confirmed by first-trimester sonography. Your trainee informs you the patient is normotensive, fundal height is appropriate for gestation, and she does not have clinical complaints. Fetal activity has been normal. The patient wishes to discuss labor management with you at this visit.

Keywords

Labor induction, nonpharmacologic and pharmacologic interventions, advantagesVaginal delivery, contraindicationsUnconjugated estriolSteroid sulfatase deficiencyPhysical examinationBishop scoreCervical ripeningMembrane sweepingTranscervical balloon catheterDinoprostoneOxytocinMisoprostolTachysystole
Type
Chapter
Information
OSCEs in Obstetrics and Maternal-Fetal Medicine
An Evidence-Based Approach
 , pp. 228 - 243
Publisher: Cambridge University Press
Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Suggested Readings

(a)ACOG Practice Bulletin No. 107: Induction of labor. Obstet Gynecol. 2009;114(2 Pt 1):386–397.CrossRefGoogle Scholar
ACOG Practice Bulletin No. 146: Management of late-term and postterm pregnancies. Obstet Gynecol. 2014;124(2 Pt 1):390–396.CrossRefGoogle Scholar
(a)Berghella, V, Di Mascio, D. Evidence-based labor management: before labor (Part 1). Am J Obstet Gynecol MFM. 2020;2(1):100080.CrossRefGoogle ScholarPubMed
Berghella, V, Bellussi, F, Schoen CN. Evidence-based labor management: induction of labor (Part 2). Am J Obstet Gynecol MFM. 2020;2(3):100136.CrossRefGoogle ScholarPubMed
(a)Alfirevic, Z, Gyte, GM, Nogueira Pileggi, V, et al. Home versus inpatient induction of labour for improving birth outcomes. Cochrane Database Syst Rev. 2020;8(8):CD007372.Google ScholarPubMed
Boie, S, Glavind, J, Velu, AV, et al. Discontinuation of intravenous oxytocin in the active phase of induced labour. Cochrane Database Syst Rev. 2018;8(8):CD012274.Google Scholar
(c)Finucane, EM, Murphy, DJ, Biesty, LM, et al. Membrane sweeping for induction of labour. Cochrane Database Syst Rev. 2020;2(2):CD000451.Google ScholarPubMed
Kerr, RS, Kumar, N, Williams, MJ, et al. Low-dose oral misoprostol for induction of labour. Cochrane Database Syst Rev. 2021;6(6):CD014484.Google Scholar
Middleton, P, Shepherd, E, Morris, J, et al. Induction of labour at or beyond 37 weeks’ gestation. Cochrane Database Syst Rev. 2020;7(7):CD004945.Google Scholar
Smith, CA, Armour, M, Dahlen, HG. Acupuncture or acupressure for induction of labour. Cochrane Database Syst Rev. 2017;10(10):CD002962.Google ScholarPubMed
Grobman, WA, Caughey, AB. Elective induction of labor at 39 weeks compared with expectant management: a meta-analysis of cohort studies. Am J Obstet Gynecol. 2019;221(4):304–310.CrossRefGoogle ScholarPubMed
Grobman, WA, Rice, MM, Reddy, UM, et al. Labor induction versus expectant management in low-risk nulliparous women. N Engl J Med 2018; 379:513–523.CrossRefGoogle ScholarPubMed
(a)National Institute for Health and Care Excellence (NICE). Inducing labour. Draft guideline May 2021, update of CG70, 2008.Google Scholar
National Institute for Health and Care Excellence (NICE). Insertion of a double balloon catheter for induction of labour in pregnant women without previous caesarean section (IPG528). July 2015.Google Scholar
Leduc, D, Biringer, A, Lee, L, et al. Clinical Practice Obstetrics Committee; Special Contributors. Induction of labour. J Obstet Gynaecol Can. 2013;35(9):840–857.CrossRefGoogle ScholarPubMed
SMFM statement on elective induction of labor in low-risk nulliparous women at term: the ARRIVE trial. July 2019. Available at www.smfm.org/publications/258-smfm-statement-elective-induction-of-labor-in-low-risk-nulliparous-women-at-term-the-arrive-trial. Accessed June 5, 2021.Google Scholar
WHO recommendations: induction of labour at or beyond term. Geneva: World Health Organization; 2018.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×