Doula

Category - Labor & Birth

Which of the following is NOT a good indication for induction of labor?
  1. The amniotic sac has been ruptured for more than 24 hours without the onset of contractions.
  2. The provider believes the baby is larger than average.
  3. The pregnancy has progressed beyond 42 weeks.
  4. The woman has developed a pregnancy related complication such as pregnancy induced hypertension or gestational diabetes that would make it more dangerous to remain pregnant.
Explanation
Answer: B - A care provider can make an educated guess about the baby's size, but this is just an estimate and is not a good medical reason for induction. The theory is that induction allows the provider to get the baby out before he or she gains more weight and is harder to deliver, but most mother's bodies are able to adapt to whatever size baby they are carrying, and rarely does a large baby pose a serious medical threat for the mother or the baby itself. The risk of infection does increase as time passes after the rupture of the membranes, so induction for prolonged rupture is a valid medical motive. If pregnancy goes past 42 weeks, there is a chance that the placenta will begin to deteriorate and will not adequately provide for the fetus. If any health condition of the mother escalates to the point that pregnancy is unsafe for her health, it is better to induce labor.
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