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Induction of labour method — DRCOG MCQ

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ModerateLabourInduction of labour methodDRCOG

A 29-year-old woman at 41+2 weeks chooses induction. She has an unfavourable cervix and no previous uterine surgery. Maternal and fetal assessments are normal. What is the most appropriate management?

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Correct answer: E — Offer cervical ripening before artificial rupture of membranes

With an unfavourable cervix, induction usually begins with cervical ripening before membrane rupture or oxytocin. Post-dates pregnancy does not mean second stage has begun. Caesarean section is not the default management. Induction requires appropriate maternal and fetal monitoring because hyperstimulation and fetal compromise can occur.

Reference: NICE NG207