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Re: Within or outside the standard of care From: Larry Glazerman (l.glazerman@rcn.com) Wed May 30 15:56:44 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ainsron@msn.com: "Re: 66% Induction Rate" Previous message: Larry Glazerman: "Re: 66% Induction Rate" Dan: Where do they say this?????? Here is a quote from the 1999 Technical Bulletin including their statement on "logistic reasons", which include psychosocial indications. · What are the indications and contraindications to induction of labor? Indications for induction of labor are not absolute but should take into account maternal and fetal conditions, gestational age, cervical status, and other factors. Following are examples of maternal or fetal conditions that may be indications for induction of labor: · Abruptio placentae · Chorioamnionitis · Fetal demise · Pregnancy-induced hypertension · Premature rupture of membranes · Postterm pregnancy · Maternal medical conditions (eg, diabetes mellitus, renal disease, chronic pulmonary disease, chronic hypertension) · Fetal compromise (eg, severe fetal growth restriction, isoimmunization) · Preeclampsia, eclampsia Labor also may be induced for logistic reasons, for example, risk of rapid labor, distance from hospital, or psychosocial indications. In such circumstances, at least one of the criteria in the box should be met or fetal lung maturity should be established (28). Generally, the contraindications to labor induction are the same as those for spontaneous labor and vaginal delivery. They include, but are not limited to, the following situations: · Vasa previa or complete placenta previa · Transverse fetal lie · Umbilical cord prolapse · Previous transfundal uterine surgery However, the individual patient and clinical situation should be considered in determining when induction of labor is contraindicated. Several obstetric situations are not contraindications to the induction of labor but do necessitate special attention. These include, but are not limited to, the following: At 09:49 AM 5/30/01 -0500, you wrote: >ACOG defines elective induction of labor as "An induction done only for the >convenience of the patient or the physician." >They then go on to state tha Elective induction of labor should never be >done. >Dan > >-----Original Message----- >From: Gail Waldby [mailto:gwaldby@willinet.net] >Sent: Sunday, May 27, 2001 12:10 AM >To: Multiple recipients of list OB-GYN-L >Subject: Within or outside the standard of care > >Our OB-GYN is going to Europe for 2 weeks. He has scheduled 1 labor >induction starting at midnight each of the 3 nights before he leaves. Is >this within or outside the standard of care? >Gail Waldby, MD >Huron Clinic SD -- Larry R. Glazerman, MD Ob-Gyn at Trexlertown 610-402-0161 l.glazerman@rcn.com Next message: ainsron@msn.com: "Re: 66% Induction Rate" Previous message: Larry Glazerman: "Re: 66% Induction Rate"

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