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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]
Questions & Comments
References ,[object Object],[object Object],[object Object],[object Object],[object Object]

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Induction Lecture Fmdrl

  • 1. Getting Things Started… Cervical Ripening and Labor Induction Jennifer Frank MD Fox Valley FMR Program
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  • 14. 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
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