INDUCTION OF LABOUR
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26.6.06
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Termination of a pregnancy by inducing labour may be indicated because of a suspected or confirmed risk to the mother or baby, or both.
Such indications are:
- Hypertensive disorders.
- Prolonged pregnancy.
- Compromised fetus e.g. growth restriction.
- Maternal diabetes.
- Rhesus sensitisation.
Induction in such cases has often been carried out on epidemiological data as opposed to established risk in an individual case. Modern methods of fetal assessment aim to establish the risk in an individual and thus avoid needless intervention.
Other indications for induction are:
- Fetal abnormality or death — the main reason for intervention is to alleviate distress in the mother.
- Social — induction may be requested by a mother for a variety of social or domestic reasons. The obstetrician may reasonably agree to such requests if the findings are favourable for delivery and if there are no features which would make intervention unusually hazardous.
whatever means necessary and must therefore be justifiable.
Category: Obstetrics Notes
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