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 membranes2. Prostaglandin (E2 or E1)3. Oxytocin artificial rupture of membranes

• Complications: failure caesarean section, uterine hyperstimulation, & cord prolapse