What are the guideline sources, guidelines and references for Induction of labor ?
Guideline sources The following summarized guidelines for the evaluation and management of induction of labor are prepared by our editorial team based on guidelines from the Society of Obstetricians and Gynaecologists of Canada (SOGC 2023), the World Health Organization (WHO 2022; 2014), the Austrian Society of Gynecology and Obstetrics (OEGGG/DGGG/SGGG 2021), and the Society for Maternal-Fetal Medicine (SMFM 2018). 1 3 4 6 7 8 9 Calculator Calculator Bishop score for vaginal delivery Vaginal delivery after Cesarean Guidelines 1. Diagnostic investigations https://web.pathway.md/diseases/recHhPwj5l9BzliJk 1/4 6/24/23, 2:28 PM Induction of labor Pathway Digital vaginal examination: perform digital vaginal examination at 4-hour intervals for routine assessment and identification of delay in active labor. B 2. Medical management Setting of care: as per WHO 2022 guidelines, do not offer routine outpatient induction of labor for improving birth outcomes. D Indications for induction of labor: As per WHO 2022 guidelines: Offer induction of labor in patients 41 0/7 weeks of gestation. B Do not offer routine induction of labor in patients with uncomplicated pregnancies at < 41 weeks of gestation. D As per SMFM 2018 guidelines, consider offering elective induction of labor in low-risk nulliparous females 39 0/7 weeks of gestation. E Oxytocin: As per SOGC 2023 guidelines, administer oxytocin for labor induction when the modified Bishop score is 7, except in the setting of term pre-labor rupture of membranes. B Show 2 more As per DGGG 2021 guidelines: Consider administering oxytocin to induce labor when the cervix is ripe. Recognize that combining oxytocin with an amniotomy increases the probability of vaginal delivery. C Do not administer oxytocin to induce labor when the cervix is still unripe. D As per WHO 2014 guidelines, administer oxytocin, alone or with amniotomy, for treatment of confirmed delay in labor. B Show 2 more Prostoglandins: As per SOGC 2023 guidelines, administer oral prostaglandin E1 or IV oxytocin with amniotomy as the preferred method of induction of labor when the Bishop score is 7. A Show 2 more As per WHO 2014 guidelines, do not use oral misoprostol for labor augmentation. D 3. Inpatient care Monitoring of induction: as per WHO 2014 guidelines, obtain an active phase partogram with a 4-hour action line for monitoring the progress of labor. B Electronic fetal monitoring: As per SOGC 2023 guidelines, obtain electronic fetal monitoring when using oxytocin or repeated doses of prostaglandin E1 for induction of labor. A https://web.pathway.md/diseases/recHhPwj5l9BzliJk 2/4 6/24/23, 2:28 PM Induction of labor Pathway As per WHO 2014 guidelines, do not obtain internal tocodynamometry, compared with external tocodynamometry, with the aim of improving outcomes for augmented labor. D 4. Nonpharmacologic interventions Activity and positioning: encourage adopting mobility and upright position during labor in patients at low risk. B Food intake: offer oral fluid and food intake during labor in patients at low risk. B Companionship: encourage continuous companionship during labor for improving labor outcomes. B 5. Therapeutic procedures Balloon catheter: As per WHO 2022 guidelines: Offer balloon catheter for induction of labor. B Offer the combination of balloon catheter plus oxytocin administration for induction of labor. B 6. Surgical interventions Amniotomy: As per SOGC 2023 guidelines, consider performing amniotomy when the modified Bishop score is 7. Recognize that amniotomy is most effective when combined with an induction agent (oxytocin or prostaglandin E1). B As per DGGG 2021 guidelines: Consider performing amniotomy in combination with oxytocin administration to increase the probability of vaginal delivery. C Do not perform amniotomy only for inducing labor. D As per WHO 2014 guidelines, perform amniotomy and administer oxytocin for treatment of confirmed delay in labor. Do not perform amniotomy alone for treatment of delay in labor. B 7. Preventative measures Prevention of delay: do not offer a package of care for active management of labor for preventing delay in labor. D Show 10 more References https://web.pathway.md/diseases/recHhPwj5l9BzliJk 3/4 6/24/23, 2:28 PM Induction of labor Pathway 1. No authors listed. WHO recommendations for augmentation of labour. Geneva: World Health Organization; 2014. Open 2. Debbie Robinson, Kim Campbell, Sebastian R Hobson et al. Guideline No. 432a: Cervical Ripening and Induction of Labour General Information. J Obstet Gynaecol Can. 2023 Jan;45 1 35 44.e1. Open 3. Sven Kehl, Irene H sli, Ulrich Pecks et al. Induction of Labour. Guideline of the DGGG, OEGGG and SGGG (S2k, AWMF Registry No. 015 088, December 2020 . Geburtshilfe Frauenheilkd. 2021 Aug;81 8 870 895. Open 4. Debbie Robinson, Kim Campbell, Sebastian R Hobson et al. Guideline No. 432c: Induction of Labour. J Obstet Gynaecol Can. 2023 Jan;45 1 70 77.e3. Open 5. Debbie Robinson, Kim Campbell, Sebastian R Hobson et al. Guideline No. 432b: Cervical Ripening. J Obstet Gynaecol Can. 2023 Jan;45 1 56 62.e1. Open 6. No authors listed. WHO recommendations on induction of labour, at or beyond term. Geneva: World Health Organization; 2022. Open 7. No authors listed. WHO recommendations on outpatient settings for induction of labour. WHO. 2022 Oct 5. Open 8. Society of Maternal-Fetal SMFM Publications Committee. SMFM Statement on Elective Induction of Labor in Low-Risk Nulliparous Women at Term: the ARRIVE Trial. Am J Obstet Gynecol. 2019 Jul;221 1 B2 B4. Open 9. No authors listed. WHO recommendations on mechanical methods for induction of labour. Geneva: World Health Organization; 2022. Open https://web.pathway.md/diseases/recHhPwj5l9BzliJk 4/4