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Flashcards in induction of labour Deck (12):
1

indications

prolonged pregnancy (>41w), hypertensive disorders, IUGR, diabetes, prelabour/prolonged rupture of membranes, rhesus disease, prev stillbirth, abruption, placental insufficiency

2

contraindications

cephalopelvic disproportion, malpresentation (other than breech/face), fetal distress, placenta praevia, vasa praevia, cord presentation, pelvic tumour, cord presentation, prev repair to cervix

3

what score on bishops score is ripe (cervical ripeness)

>5

4

what happens if a primip is induced and is not ripe (

higher rates fetal distress, C section, prolonged labour

5

what can be used to ripen the cervix

prostaglandins (PGE2) - dinoprostone

6

if the cervix fails to ripen with prostaglandins what should be done

repeat 6-8hours later and if still fails to ripen do a C section

7

what may prostaglandins do apart from ripening cervix

uterine contractions, precipitate labour

8

what happens after the cervix is ripe

rupture the membranes, amniotomy.

9

what drug is used after cervix is ripe

oxytocin IV - syntocinon

10

when should you stop inducing

in distress or uterine hyperstimulation

11

what other drug can be used for cervical ripening and inducing labour

misoprostol- prostaglandin E1 analogue

12

problems of induction

failed induction, uterine hyperstimulation, instrumental and C section rates higher, iatrogenic prematurity, infection, bleeding, cord prolapse, uterine rupture