Indications for Induction of Labor-
- Pre-eclampsia, eclampsia (hypertensive disorders in pregnancy)
- Maternal medical complications - Diabetes mellitus, Chronic renal disease, Cholestasis of pregnancy
- Postmaturity
- Abruptio placentae
- Intrauterine Growth Restriction (IUGR)
- Rh-isoimmunization
- Premature rupture of membranes
- Fetus with a major congenital anomaly
- Intrauterine death of the fetus
- Oligohydramnios, polyhydramnios
- Unstable lie-after correction into longitudinal lie
- Maternal request
Contraindications of Induction of Labor-
- Contracted peivis and cephalaceivic disproportion
- Malpresentation (breech, transverse or oblique lie)
- Previous classical cessarean section or hysterotomy (scarred uterus)
- Uteroplacental factors: Unexplained vaginal bleeding, vasa previa, placenta previa
- Active genital herpes infection
- High-risk pregnancy with fetal compromise
- Heart disease
- Pelvic tumor
- Elderly primigravida with obstetric or medical complications
- Umbilical cord prolapse
- Cervical carcinoma