Hi everyone!!!

I was just wondering what the protocol is in your trust regarding IOL of women who have had a previous c/section.

I have just finished my community placement and in that particular trust they do not induce labour if the woman has had a previous section. I was really surprised at this as my first child was born by section and i was induced with my next 2 children although not in the trust i am placed in. Also they have only just introduced a free nuchal scan (there used to be a charge of £100 for these) where in the trust i had my children they have always been available free of charge.

It has really surprised me at how many differences there are. It would be really interesting to hear of other peoples thoughts on these differences and any others you have come across.

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Cami
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IOL for previous section... 1mg prostin x2.. ARM... NO syntocinon! Continuous monitoring before and after each prostin n ARM... And then continuous monitoring when in labour....
If prostin and ARM fail --> section...

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Duel X
3rd year student midwife
Moderator

I had a section with my first. Went overdue with my subsequent 2 pregnancies and was told they did not want to induce. Thankfully I only went 1 week over as I knew what they were saying was that they would want to section me.
I have worked brefly in the trust where I had mine, although not witnessd it, I believe prostin and ARM would be the way to go, no synto. But I reckon most would end up as a section on that unit anyway.

Tbh, don't know what the protocol is for my trust

I would imagine that syntocinon infusion is contraindicated though, for fear of causing uterine rupture.

I'll have a look when I go back in.

Terrible with protocols, I cannot learn them all, there are loads and am working through them slowly!!

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Thanks for answering my post!!! It amazes me how different trusts can be!

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Cami
~x~