Cervical Ripening and Labor Induction: Risks and Methods

Getting Things Started… Cervical Ripening and Labor Induction Jennifer Frank MD Fox Valley FMR Program

The best teachers… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Take home points (or learning objectives) ,[object Object],[object Object],[object Object]

Indications for Labor Induction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Indications for Induction ,[object Object],[object Object],[object Object],[object Object],[object Object]

Contraindications to Labor Induction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Additional Contraindications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Harman JH, Kim A. Current trends in cervical ripening and labor induction. AFP 1999;60:477-84.

Successful Labor Induction ,[object Object],[object Object],[object Object],[object Object]

Factors Predicting Success ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Maternal Factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Fetal Factors ,[object Object],[object Object]

Fetal maturity ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Cervical Ripening ,[object Object],[object Object],[object Object],[object Object]

Bishop score ___ Soft Med Firm Consistency ___ Anter Mid Post Position +1 to +2 -1 or 0 -2 -3 Station 80 60-70 40-50 0-30 Effacement (%) 5-6 3-4 1-2 0 Dilation 3 2 1 0 Factor

Assessing Cervix ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Methods of cervical ripening ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Methods of cervical ripening continued ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Nonpharmacologic methods for cervical ripening ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Nonpharmacologic methods for cervical ripening continued ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Alternative methods for cervical ripening ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Labor Induction ,[object Object],[object Object],[object Object]

Risks of Labor Induction ,[object Object],[object Object],[object Object],[object Object]

Labor Induction - ACOG ,[object Object],[object Object],[object Object],[object Object],[object Object]

Methods of Labor Induction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Methods of Labor Induction ,[object Object],[object Object],[object Object]

Oxytocin continued ,[object Object],[object Object],[object Object],[object Object],[object Object]

Oxytocin for labor induction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Dosing of Oxytocin ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Potential Risks ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Potential Risks cont’d ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

References ,[object Object],[object Object],[object Object],[object Object],[object Object]

Cervical Ripening and Labor Induction: Risks and Methods

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Cervical Ripening and Labor Induction: Risks and Methods