Postterm induction guidelines for cervical scoring and scheduling

Postterm Induction Guidelines USE 1) THE BISHOP SCORE 2) CERVICAL DILATION 3) PARITY 4) EGA TO MAKE DECSISONS WHEN TO SCHEDULE THER IS A RANGE FROM 41W 0d – 41 6d TO CONSIDER

DILATION SCORE 0 0 cm 2 1-2 cm 4 3-4 cm 6 >4 cm CERVICAL LENGTH SCORE By digital PALPATION 0 3 cm 1 2 cm 2 1 cm 3 0 cm STATION SCORE In relation to spines 0 -3 1 -2 2 -1/O 3 + 1/+2

Favorable Cervix is Bishop Score of 6 The success of induction is most dependent on the amount of cervical dilatation Consider induction as early as 41w 0d IF: For a MULTIP if cervix is dilated 2 cm For a NULLIP if cervix is dilated 3-4 cm ,[object Object],[object Object],[object Object],[object Object],[object Object],Am J Obstet Gynecol 2003 Jun;188(6):1565-9

Use Modified Bishop Score ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PARITY ,[object Object],[object Object],[object Object],[object Object],[object Object]

SCHEDULING for OUTPATIENT CYTOTEC INDUCTION with PARITY IN MIND ,[object Object],[object Object],[object Object],[object Object],[object Object]

MEDICAL INDICATIONS FOR INDUCTION ,[object Object],[object Object],[object Object],[object Object]

INDICATIONS for INPATIENT INDUCTION (ie AM scheduling) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Indications for a CST Prior to Induction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

RIVERSIDE OP CYTOTEC GUIDELINES ,[object Object],[object Object],[object Object],[object Object]

Do the Math Think About In Patient Cytotec Night Start @ 41w4d ,[object Object],[object Object],[object Object]

INPATIENT INDUCTION Etiquette & Wisdom ,[object Object],[object Object],[object Object],[object Object]

What are the Changes ARRIVE EARLIER ,[object Object],[object Object],[object Object],[object Object],[object Object]

Postterm induction guidelines for cervical scoring and scheduling

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Postterm induction guidelines for cervical scoring and scheduling