Details

Autor(en) / Beteiligte

• Papalia, Nicholas
• D'Souza, Rohan D.
• Hobson, Sebastian R.

Titel

Optimal timing of labour induction in contemporary clinical practice

Ist Teil von

• Best practice & research. Clinical obstetrics & gynaecology, 2022-03, Vol.79, p.18-26

Ort / Verlag

Netherlands: Elsevier Ltd

Erscheinungsjahr

2022

Quelle

Access via ScienceDirect (Elsevier)

Beschreibungen/Notizen

• Induction of labour (IoL) is generally conducted when maternal and foetal risks of remaining pregnant outweigh the risks of delivery. With emerging literature around non-medically indicated IoL, contemporary clinical practice has seen an increase in IoL at 39 weeks’ gestation. This review highlights recent evidence on the most common indications for IoL including gestational diabetes, hypertensive disorders of pregnancy, intrahepatic cholestasis of pregnancy, and post-term pregnancies. It also summarizes the evidence related to the timing of IoL for other common conditions based on recent literature reviews. •Avoid induction of labour (IoL) < 39 weeks without a strong clinical indication.•The timing of IoL in diabetic pregnancies should consider the need for insulin, glycaemic control and microvascular involvement.•Consider IoL at 37 weeks with pre-eclampsia, even in the absence of severe features.•For patients with IHCP, offer IoL at 36 weeks if the serum bile acid >100 μmol/L.