OBSadvanced
Arrange the following clinical stages in chronological order for a patient requiring delivery, from earliest to latest: Augmentation of contractions in established labour, Indication for delivery identified with no labour, Cervical ripening for an unfavourable cervix.
Answer
Indication for delivery identified with no labour, Cervical ripening for an unfavourable cervix, Augmentation of contractions in established labour
Explanation
Cervical preparation may occur before or as part of an induction process, particularly when the cervix is unfavourable. Induction is considered when delivery is indicated but labour has not begun. If labour is already established and contractions need strengthening, the intervention is augmentation.
**Key takeaway:** The clinical sequence moves from cervical readiness and initiation toward possible augmentation in established labour.
**Glossary:** **Unfavourable cervix**: a cervix assessed as less ready for induction. **Augmentation**: strengthening contractions in established labour.
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