Assessment
Developed in 1964 to predict the success of induction
Bishop Score
High blood pressure in pregnancy
preeclampsia
Filled with water
Foley catheter
Risk of amniotomy
Cord prolapse
High priority
severe preeclampsia or eclampsia at any gestational age, preeclampsia at >=37 weeks, significant maternal disease, significant but stable APH, chorioamnionitis, term rom and GBS, suspected fetal comprimise
Too many contractions
Tachysystole
Infection that can occur during labour.
chorioamnionitis
Stimulates myometrial contractions
Prostaglandins
Tear in the womb
Uterine rupture
Maternal request at <= 39 weeks
Low priority
The amount, color and consistency of this must be documented
Amniotic Fluid
>= 41 weeks
Post dates
Can be given vaginally or orally
Misoprostol
Type of delivery
c/s
Intrauterine fetal demise
Medium priority
Two methods to measure the intensity of contractions.
hand IUPC
"Sweet" complication of pregnancy
Diabetes
Not to be used for women with previous c/s
Prostaglandins
Risk of oxytocin use during labour.
pph
The presence of this bacteria makes an IOL a high priority
GBS
More accurate than menstural dating
Ultrasound
minimal amniotic fluid
oligohydramnios
Numerical value, used to determine if the placenta is too close to the internal cervical os.
2 cm
Can occur in inductions without medical indications at 37 weeks
Adverse neonatal outcomes
There is no medical or outcome advantage for an IOL for this indication.
Intrauterine death in a prior pregnancy.