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Summary of Results

Health Topic:   Gynaecology, pregnancy and birth
Guidance:   Induction of labour
Description:   The summary of the published clinical guideline on Induction of labour. It links to the published guidance and key documents.

NICE implementation uptake reports

Implementation uptake report Assessment Published Date Coverage

External literature

External literature Assessment Coverage

Nooh A, Baghdadi S, Raouf S (2005) Induction of labour: How close to the evidence-based guidelines are we? Journal of Obstetrics and Gynaecology 25: 451-4.

Description: A retrospective audit of 95 case-notes of Induction of Labour managed cases during 2003 at a single birth unit in England to assess compliance with current evidence including NICE guidance. The results indicate that most aspects of maternity care were delivered in accordance with the guidance.

Practice appears to be in line with guidance Local

Harvey B (2004) Use of CTG monitoring: are recommendations suitable? RCM Midwives Journal 12: 518-20.

Description: An audit in a consultant-led maternity unit found nearly half of labours were classified as high risk at the onset of labour. Of those classified as low risk, almost half went on to have continuous CTG during labour. The majority of the reasons given by the midwives agree with indications specified by NICE. Midwives in the unit showed good compliance with the guidelines, except admission CTGs. Just under half those classified as low risk were found to have had an admission CTG

Doubts about or mixed impact in practice Local

Selo-Ojeme D et al (2007) Are we complying with NICE guidelines on the use of prostaglandin E2 for the induction of labour: A survey of obstectic units in the UK. Journal of Obstetrics and Gynaecology

Description: The names of the UK obstetrics units held on Dr Foster's website made up the survey sample.The authors found that a total of 98.9% units had a written protocol for induction of labour. A total of 46.6% used PGE2 tablets, 47.6% use PGE2 gel and 5.8% use both. In 86.4% of units that use tablets and 61.1% of units that use gel, clinicians utilised higher than the NICE recommended maximum doses of PGE2 for induction of labour.

Doubts about or mixed impact in practice National

Janga, D. et al (2013) Induction of labour: Are we compliant with the guidelines? BJOG: An International Journal of Obstetrics and Gynaecology. 2013 Conference (var.pagings) PAGES June -

Description: A prospective audit was conducted to measure compliance with guidelines on induction of labour (IOL) at Whipps Cross University Hospital, London. A random selection of 50 case notes for inductions during October ? November 2012 were reviewed. Results included that membrane sweep prior to IOL was not offered to 29 women (58%).

Practice appears not to be in line with guidance Local

This page was last updated: 01 June 2013

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Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.