We know what the evidence says…or maybe we don’t (or maybe they don’t) We know what our providers do, but do we know if they’re following standards set by our professional organizations?
I’m not a physician or a midwife, but I do know they look at many factors when deciding if induction is the best thing for our patients. But we should still know what the current recommendations are 🙂 So here’s hoping I didn’t miss anything…(and that no one minds me sharing the information).
Reason for induction should always clearly be charted!
Here is a handy little guide from ACOG and SMFM for medically indicated late-preterm and early-term deliveries:
You can read the Committee Opinion Number 560 – April 2013 in its entirety here.
• These recommendations depend on an accurate estimate of gestational age.
• This list is not all-inclusive.
• These are recommendations only and must be individualized and re-evaluated as new evidence becomes available.
Here is a handy little guide from ACOG and SMFM for nonmedically indicated early-term deliveries:
You can read the Committee Opinion Number 561 – April 2013 in its entirety here.
Here is a list of neonatal morbidities associated with an early-term delivery:
Things to remember:
- SGA, LGA, and polyhydramnios alone are no longer single indictators for induction of labor (and haven’t been for a long time) prior to 39 weeks.
Other great articles that talk about induction:
• AWHONN’s Recommendations on Reducing Preventable Harm to Moms and Babies by Eliminating Overuse of Labor Induction – September 23, 2014
• AWHONN’s Position Statement on Non-Medically Indicated Induction and Augmentation of Labor
• ACOG Practice Bulletin – Clinical Management Guidelines for Obstetrician-Gynecologists – Number 107 – August 2009
• This form is provided by ACOG to help providers appropriately and safely schedule inductions – ACOG’s Patient Safety Checklist. I work for two hospitals that have implemented Bishop Score requirements for all non-medically indicated inductions. If you’re facility does not have something like this in place, think about being the nurse that initiates a change like that 🙂
All healthcare providers should be educating their patients on the risks of non-medically indicated inductions. Here are some great resources for women and healthcare providers:
• AWHONN’s Go the Full 40 Campaign
• Printable flyers provided by the Go the Full 40 Campaign (we hand these out in triage and leave stacks in physician and midwife offices ;)) Also available in Spanish.
• ACOG’s Labor Induction: Resource Overview for healthcare providers and women and patients.
Until my next delivery ❤