Rules of induction of labor, complication and benefits

Document Type : Original Article

Authors

Najran University, Medical Collage

Abstract

Background: induction of labor is a usual obstetric method and it is applied when the benefits to either mother or fetus outweigh those of continuing the pregnancy. Objective: in this review we discussed the advantages and disadvantages and specifically mention about indications. Methodology: we searched MEDLINE and the Cochrane Library up to June 2018. Through our search we used multiple terms and combinations including labor, induced/or induction of labor. Result: for uterine hyperstimulation, double-balloon catheter had the highest probability of being among the best three treatments, whereas vaginal misoprostol (≥ 50 µg) was most likely to increase the odds of excessive uterine activity. For other safety outcomes there were insufficient data or there was too much uncertainty to identify which treatments performed 'best'. Conclusion: elective IOL needs to only be done in rare or extraordinary circumstances, only when the mom has actually completed 39 weeks of pregnancy, and only when it would be beneficial to the mom and not cause damage to the newborn. Ladies with uncomplicated maternities must be given every opportunity to go into spontaneous labor. Women with uncomplicated pregnancies should typically be offered induction of labor in between 41 +0 and 42 +0 weeks to avoid the threats of prolonged pregnancy.
 

Keywords

The Egyptian Journal of Hospital Medicine
Volume 73, Issue 5
October 2018
Pages 6767-6772

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