The most important consideration with respect to labour induction is not how, but whether labour induction should be undertaken. Careful consideration must be given to potential benefits and risks to mother and baby, both physical and emotional, as well as to the state of the uterine cervix. When the cervix is unfavourable, oxytocin infusion and/or artificial rupture of the membranes are less likely to be effective in inducing labour. PGE2 administered vaginally in various formulations is the usual method of labour induction. Misoprostol is a less expensive method. At dosages around 25 ^g 4-hourly vaginally, both effectiveness and side effects appear similar to PGE2. Oral misoprostol may have advantages over the vaginal route of administration.
Mechanical methods of labour induction stimulate the cervix and lower uterine segment to release endogenous prostaglandins. Infusion of saline through an extra-amniotic Foley catheter appears to be an effective method of labour induction with low rate of uterine hyperstimulation.
Several other methods of labour induction have not been adequately assessed by randomized trials to be able to be advocated for general use.
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Once your pregnancy is over and done with, your baby is happily in your arms, and youre headed back home from the hospital, youll begin to realize that things have only just begun. Over the next few days, weeks, and months, youre going to increasingly notice that your entire life has changed in more ways than you could ever imagine.