Disciplines:
  • Nursing
  • Advanced Practice Nursing
  • Hours: 6 Contact Hours
    (2 pharm hours)
    Author(s): Jennifer Enoch, RN, MS, CNM
    Peer Reviewer(s): Anita Carroll, RN, EdD, MSN
    Item#: N1567
    Contents:
    1 Course Book (102 pages)

    Induction of Labor, Updated 1st Edition



    Price $29.95
    Item # N1567
    When available, the Online Course format is included with the hard copy, eBook, or audio book formats!

    Expiration Date: December 31, 2017

    Induction of labor is the use of pharmacological or mechanical means to stimulate uterine contractions before the onset of spontaneous labor. This is done when the continuation of pregnancy jeopardizes the mother or the fetus, as is the case in preeclampsia or postterm pregnancy.

    Induction of labor has become a common intervention in the United States. The rate for induced labor more than doubled from 1990 (9.6%) to 2010 (23.8%) for all gestational age groups except postterm births, which rose to 90%. Although not dramatic, data from 2011 (23.7%) and 2012 (23.3%) were significant in showing the first overall decreases in induction rates in decades (Osterman & Martin, 2014). Induction rates vary widely among individual providers and among institutions (Luthy, Malmgren, & Zingheim, 2004), exceeding 50% in some community hospitals (Beebe et al., 2000). 

    This course describes methods of labor induction and patient care during induction in order to update registered nurses working in perinatal medicine and labor and delivery. The physiology of spontaneous and induced labor is discussed, as are the reasons for induction, controversies regarding the procedure, and special considerations for women with a scarred uterus. The course may also be helpful to nurses employed in physicians’ offices, outpatient clinics, and community settings who educate gestational women about labor induction. Advanced practice nurses may find the course helpful as a review.

    Course Objectives
    • Describe the physiological processes involved in cervical ripening and labor.
    • Describe common indications and nursing considerations for induction of labor.
    • Identify contraindications to the induction of labor.
    • Discuss methods of cervical ripening, the risks and benefits of cervical ripening, the nursing care of the mother undergoing cervical ripening, and the contraindications to administration of prostaglandins.
    • Recognize various methods of stimulating uterine contractions and the nursing care needed for each.
    • Describe nursing care of the mother undergoing induction of labor.
    • Describe nursing care of the mother with a uterine scar who is undergoing induction of labor.
    Jennifer Enoch, RN, MS, CNM, is a certified nurse-midwife (CNM). She completed a Masters of Science degree at the University of California, San Francisco School of Nursing, worked for several years in a large, high-volume, inner-city midwifery practice, and currently practices at an Indian tribal health clinic. In addition to teaching student nurses at a community college, she has contributed several articles to the journal Midwifery Today. Jennifer currently resides in Olympia, Washington.
    Anita Carroll, RN, EdD, MSN, was the first neonatal clinical nurse specialist in the Texas panhandle with a clinical faculty appointment to the medical program in Amarillo. She has taught courses to all levels of professional nursing for 30 years. Recently, she served as director of an undergraduate program and a graduate program. She has taught in maternal-child health, neonatal health, pharmacology, management, and fundamentals. Her graduate teaching experience includes courses in research, current issues, public health policy, nursing administration, and nursing education. She helped develop Master’s level tracks and courses for neonatal clinical nurse specialists and nursing education. She was a childbirth educator for 10 years and implemented a March of Dimes grant. She has presented more than 120 programs in maternal-newborn nursing to community hospitals and has certified numerous nurses as neonatal cardiopulmonary resuscitation providers and instructors. She received the Texas Nurse of the Year award from the Texas Nurse’s Association in 1996.

    • Contact hours will be awarded for up to one (1) year from the date the course is ordered.
    • You must score 75% or higher on the final exam and complete the course evaluation to pass this course and receive a certificate of completion.
    • Through our review processes, Western Schools ensures that this course content is presented in a balanced, unbiased manner and is free from commercial influence. It is Western Schools’ policy not to accept commercial support.
    • All persons involved in the planning and development of this course have disclosed no relevant financial relationships or other conflicts of interest related to the course content.