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Induction of labor consists of stimulation of uterine contractions before the spontaneous onset of labor for the purpose of accomplishing delivery with Pitocin, oxytocin..
Indications and Contraindications
Common Indications for Induction of Labor
Pregnancy-induced hypertension
Premature rupture of membranes
Chorioamnionitis
Suspected fetal jeopardy (eg, severe fetal growth restriction, isoimmunization)
Maternal medical problems (eg, diabetes mellitus, renal disease)
Fetal demise
Postterm pregnancy
Contraindications to Labor Induction or Spontaneous Labor
Placenta previa or vasa previa
Transverse fetal lie
Prolapsed umbilical cord
Prior classical uterine incision
Obstetric Conditions Requiring Special Caution During Induction
Multifetal gestation
Polyhydramnios
Maternal cardiac disease
Abnormal fetal heart rate patterns not requiring emergency delivery
Grand multiparity
Severe hypertension
Breech presentation
Presenting part above the pelvic inlet
A trial of labor with induction is not contraindicated in women with one or more previous low transverse cesarean deliveries.
Requirements for Induction induction, labor, induction of labor
Labor should be induced only after the mother and fetus have been examined thoroughly, and after fetal maturity has been assured.
Criteria for Fetal Maturity
An ultrasound measurement induction, labor, induction of labor of the crown-rump length, obtained at 6-11 induction, labor, induction of labor weeks, supports a gestational age of 39 weeks or more.
An ultrasound scan, obtained at 12-20 weeks, confirms the gestational age of 39 weeks or more determined by history and physical examination.
Fetal heart tones have been documented for 30 weeks by Doppler.
36 weeks have elapsed since