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Induction of Labor: A Narrative Review for Clinical Use.
Esther Namutosi1, Prosper Akankwasa1, Joshua B Matokota1
1Department of Obstetrics and Gynecology, Kampala International University, Ishaka, UGA.
Cureus
|November 10, 2025
Summary
Induction of labor (IOL) is a crucial obstetric procedure when pregnancy risks outweigh delivery risks. This review covers IOL indications, methods like cervical ripening, and managing potential complications for improved maternal and neonatal outcomes.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
Background:
- Induction of labor (IOL) is essential when continuing pregnancy poses risks.
- Cervical readiness is key for successful IOL, assessed by Bishop Score or transvaginal ultrasonography (TVS).
Purpose of the Study:
- To review current evidence on induction of labor.
- To synthesize information on IOL indications, methods, complications, and outcomes.
Main Methods:
- Narrative review of current evidence.
- Synthesis of definitions, indications, methods, clinical scenarios, complications, and outcomes.
Main Results:
- Transvaginal ultrasonography (TVS) is a key predictor of IOL success.
- Mechanical and pharmacological methods aid cervical ripening.
- Indications include postterm pregnancy, hypertensive disorders, and fetal demise.
Conclusions:
- Vigilant monitoring is crucial due to potential complications like failed induction or fetal distress.
- IOL enhances maternal and neonatal safety through evidence-based practices.
- Future research should refine success metrics and optimize combined strategies.
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