What methods of induction should be used and when?
Membrane sweeping should be undertaken before other methods are used. The procedure may cause some discomfort or bleeding, but does not cause any harm to the baby and does not increase the chances of infection to either the mother or baby. Membrane sweeping is not recommended the membranes have already ruptured. If membrane sweeping does not induce labour and the membranes have not yet ruptured (waters broken) prostaglandins are the recommended method of induction. This is the case whether this is the mothers first pregnancy or not, and whether or not the cervix has ripened. If the membranes have ruptured prostaglandins and oxytocin are shown to be equally effective methods of inducing labour. This is the case whether it is the first pregnancy or not, and whether or not the cervix has ripened. If the mother’s waters have not broken, a procedure called an amniotomy may be recommended. This is when the midwife or doctor makes a hole in the membrane to break the waters using a small instr
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