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Article
Towards an evidence-based approach to optimize the success of labour induction
Best Practice & Research Clinical Obstetrics and Gynaecology (2021)
  • Harrison Banner, Western University
  • Rohan D'Souza, McMaster University
Abstract
Induction of labour is a two-step process involving cervical
ripening and the initiation of uterine contractions, with the goal of
achieving vaginal birth. To optimize the chance of a safe and timely
vaginal birth, the process of induction of labour should be evidence
based and individualized to the given person and situation. In this
study, we lay out a framework for how this should be done,
emphasizing on careful clinical assessment and planning, flexibility
in the strategy of induction, patience during the ripening and
latent phases of labour, and thoughtful consideration regarding
changing the strategy if active labour is not initially achieved. The
goal of this review is to present the current evidence on this topic
in the form of a user-friendly protocol that can be easily adapted to
institutional practice.
Keywords
  • Induction of labour,
  • best practice,
  • shared decision making
Publication Date
2021
DOI
https://doi.org/10.1016/j.bpobgyn.2021.08.006
Citation Information
Harrison Banner and Rohan D'Souza. "Towards an evidence-based approach to optimize the success of labour induction" Best Practice & Research Clinical Obstetrics and Gynaecology Vol. 77 (2021) p. 129 - 143
Available at: http://works.bepress.com/harrison-banner/6/