When to schedule posterm induction

Postterm Induction Guidelines USE 1) THE BISHOP SCORE 2) CERVICAL DILATION 3) PARITY 4) EGA TO MAKE DECISONS WHEN TO SCHEDULE THER IS A RANGE FROM 41W 0d – 41 6d TO CONSIDER

What are the Changes ARRIVE EARLIER ,[object Object],[object Object],[object Object],[object Object],[object Object]

DILATION SCORE 0 0 cm 2 1-2 cm 4 3-4 cm 6 >4 cm CERVICAL LENGTH SCORE By digital PALPATION 0 3 cm 1 2 cm 2 1 cm 3 0 cm STATION SCORE In relation to spines 0 -3 1 -2 2 -1/O 3 + 1/+2

Favorable Cervix is Bishop Score of 6 The success of induction is most dependent on the amount of cervical dilatation Consider induction as early as 41w 0d IF: For a MULTIP if cervix is dilated 2 cm For a NULLIP if cervix is dilated 3-4 cm ,[object Object],[object Object],[object Object],[object Object],[object Object],Am J Obstet Gynecol 2003 Jun;188(6):1565-9

PARITY ,[object Object],[object Object],[object Object],[object Object],[object Object]

SCHEDULING for OUTPATIENT CYTOTEC INDUCTION with CONSIDERATION of PARITY ,[object Object],[object Object],[object Object]

Use Bishop Score for Decision Making ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MEDICAL INDICATIONS FOR INDUCTION ,[object Object],[object Object],[object Object],[object Object]

INDICATIONS for INPATIENT INDUCTION (ie AM scheduling) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Indications for a CST Prior to Induction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

RIVERSIDE OP CYTOTEC GUIDELINES ,[object Object],[object Object],[object Object],[object Object]

Do the Math Think About In Patient Cytotec Night Start @ 41w 4-6 d ,[object Object],[object Object],[object Object],[object Object]

INPATIENT INDUCTION Etiquette & Wisdom ,[object Object],[object Object],[object Object],[object Object]

When to schedule posterm induction

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When to schedule posterm induction