ABSTRACT

The indication for induction and the patient’s consent should be documented. High-risk inductions should be commenced on the delivery suite. The woman would have been offered membrane sweep before admission to the delivery suite and would have been informed that membrane sweeping is not associated with increased risk of infection but may cause discomfort and bleeding. Syntocinon infusion should not be started within 6 hours of the last dose of prostaglandin or less than 30 minutes after removal of Propess. The ideal dosing regimen of oxytocin is not well established. The regime outlined next is an optimal low-dose regime that begins with 2 milliunits/minutes. All women for whom labour is being induced with Syntocinon should have continuous electronic fetal monitoring.