OBSadvanced
Arrange the clinical decision-making steps prior to induction of labor in the correct chronological order:
Answer
Confirm a valid clinical indication for delivery, Screen for maternal and fetal contraindications to vaginal delivery, Weigh the risks and benefits of delivery versus expectant management, Decide whether induction of labor is appropriate
Explanation
A sound decision begins with a reason to consider delivery, then checks whether any contraindication makes induction unsuitable. The clinician must weigh delivery against continuing pregnancy and make an individualized decision. The order emphasizes that an indication alone does not establish that induction is safe or appropriate.
**Key takeaway:** Induction requires both a reason to deliver and assessment of whether induction is suitable.
**Glossary:** **Individualized decision**: a decision tailored to the patient's clinical circumstances.
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