Labor Induction before Caesarian Delivery

Author(s): Michael Cameron

Obstetricians often have to decide between performing an induction of labor and performing a repeat cesarean section for women who have had previous cesarean deliveries because of the historically high rates of cesarean delivery in the United States. During clinical evaluation of this scenario, it is necessary to weigh the advantages of a successful labor trial following a cesarean section against the dangers of symptomatic uterine rupture. This article will discuss the uncommon but clinically significant situation of labor induction following a cesarean birth, including the method of induction and induction in the context of stillbirth and fetal anomalies in the second trimester.