Definition of induction of labour -This is planned starting of labour before spontaneous onset after 28 weeks of pregnancy.
Types of induction
1-Elective induction
2-Indicated induction
1-Elective induction- It is the induction of labour for the comfort of woman ,the physician or hospital
EXAMPLE of Elective induction- a women with pregnancy with term near to expected date of delivery came to hospital and consult with doctor to start induction in perticular date which is suitable to him or to their relatives .that is called Elective induction .
2-Indicated induction-It is the induction of labour for the high risk pregnancies. .
Example- A women suffering from preeclampsia ,due to high blood pressure causing mother and baby so here should should which is indicated
INDICATED INDUCTION – it is the induction of labour for high risk pregnancies
MATERNAL INDICATTION –
1- Post- term or prolonged pregnancy beyond 41 weeks
Beyond 41 weeks of gestation of mother if mother is not exprience any pain or not started labour pain
there will be delay in delivery and due to post date there may be placenta insufficiancy means placenta cannot supply sufficient oxygen to fetus and may be fetal death so induction should started to induce labour –
2-Severe preeclampsia in pregnancies
Preeclampsia is a dangerous condition in pregnancy characterized by high blood pressure
proteinuria ,sometimes edema .
induction should start beyond 37 weeks to prevent complication of mother such as preeclampsia can progress to eclampsia and mother will suffer from seizures.to prevent this complication for the mother induction should started to start labour .
3-Premature rupture of membrane
Premature rupture of membranes means amniotic sac break before labour start .in( PROM)
Premature rupture of membranes induction should start because due to break in amniotic sac infection can enter to uterus and both mother and baby will be infected.
4-chronic polyhydramnios
Chronic polyhydramnios is a condition in pregnancy where too much amniotic fluids builds up .due to excess amniotic fluid
Uterus stretches , Abdomen disttended
and mother feel discomfort,there is chance of PROM (premature rupture of membrane), there may be chanse of preturm labour , so induction should start
5-Maternal diabetes
In pregnancy if mother suffering from diabetes then there is chanse of placental ageing and oxygen supply will reduce to fetus .
6-Presence of medical problem such as respiratory or cardiac diseases .
in pregnancy when fetus grow and uterous also put pressure on the diaphragm ,making it harder to breathe ,but if same time mother is having respiratory desease like asthma then there is this can worsen breathing problems
In labour mothers heart rate and blood presure increases and increase work load ,if in pegnancy mother having heart disease then mother cannot bear this extra heart work load .
7-. Congenital malformation of the fetus
if in pregnancy mother is suffering from congenital malformation of the fetus then pregnancy cannot continue that will worsen inside the womb. so induction of labour should start to deliver that fetus to protect mother
8-Antepartum hemorrhage
Antepartum hemorrhage means before delivery or after 28 weeks of pregnancy bleeding occur from the genital tract .
due to heavy bleeding there is chanse of shock of the mother .
if baby is mature and bleeding is not reduced then ,induction of labour should started to deliver the baby.
FETAL INDICATION in indicated induction
1-Rh isoimmunization .
2-Intrauterine growth retardation
3-Diminished fetal movements
4-Unstable lie
5+Post maturity
6-Intrauterine death
CONTRAINDICATIONS FOR INDUCTION OF LABOUR
1- Cephalopelvic disproportion
2-Heart disease
3-Persistent Malpresentation
4-Privious history of cesarean section
5-Several fetal compromise with high risk pregnancy.
6- Cord presentation and cord prolapse
7-Placenta previa
8-Pelvic rumour