Contraindications
There are a few circumstances in which induction of labour is contraindicated. Absolute contraindications to labour induction are the same entities which preclude a vaginal delivery.
These contraindications include placenta praevia, vasa praevia, or suspected placenta accreta, percreta, or increta; active genital herpes; transverse or oblique fetal presentation; prior classical caesarean section or transfundal uterine surgery; umbilical cord prolapse; and maternal pelvic deformities. Relative contraindications are cervical carcinoma, due to the risk of local disease spread and funic (cord) presentation. Breech presentation is covered elsewhere in this textbook, but generally contraindicates induction. Induction with a previous caesarean section is covered in the ‘Special circumstances' section later in this chapter.
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