OBSintermediate

List four maternal indications and four fetal indications for induction of labor.

Answer

Maternal indications: 1. Post-term/prolonged pregnancy; 2. Prelabor rupture of membranes (PROM); 3. Hypertensive disorders of pregnancy (e.g., pre-eclampsia, gestational hypertension); 4. Maternal medical conditions (e.g., diabetes mellitus, chronic hypertension, renal or cardiac disease). Fetal indications: 1. Fetal growth restriction (IUGR); 2. Rhesus (Rh) isoimmunization; 3. Congenital fetal anomalies; 4. Intrauterine fetal demise (IUFD).

Explanation

The slide divides indications into **maternal** and **fetal** groups. Maternal examples include prolonged pregnancy, prolonged prelabour rupture, pregnancy-related disorders, and selected medical diseases. Fetal examples include growth restriction, rhesus isoimmunization, congenital anomalies, and fetal demise. These are the source's listed indications; clinical decisions also depend on the full assessment. **Key takeaway:** Know the maternal and fetal categories and be able to give representative examples from each. **Glossary:** **Cholestasis**: impaired bile flow. **Growth restriction**: failure of the fetus to reach expected growth potential.

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