OBSadvanced
According to clinical guidelines, what is the recommended next step when an initial attempt at labor induction is unsuccessful?
Answer
Reassess maternal and fetal wellbeing and discuss subsequent management options with the woman
Explanation
The supplied pathway emphasizes communication and support, reassessment of the woman and pregnancy, and assessment of fetal wellbeing. Options include another induction attempt—timed according to clinical circumstances and the woman's wishes—or caesarean section. Continuing without reassessment is not supported.
**Key takeaway:** Failed induction calls for reassessment, shared discussion, and an individualized next-step plan.
**Glossary:** **Failed induction**: failure to achieve vaginal delivery after induction has been initiated. **Fetal wellbeing**: assessment of fetal condition.
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