(3) Evaluate the newborn for hypoglycemia via dextrostix. The infant has
been forced to use up energy stores due to prolonged pregnancy. Blood sugar less
than 45 mg/dl is low and requires immediate oral glucose feedings, or IV glucose
feeding followed by frequent formula feedings to prevent subsequent drops.
(4) Give special care to the infant to prevent loss of body heat. Place a hat
on his head, keep him wrapped; then, and place him in a warm incubator. The postterm
infant is subject to cold stress because of low amounts of subcutaneous fat and large
FACTS ABOUT THE INDUCTION OF LABOR
a. Definition. Induction of labor is the deliberate initiation of uterine
contractions prior to their spontaneous onset and after the period of viability.
b. Indications for Induction.
When continuation of the pregnancy would affect maternal or fetal
(2) When fetal well-being would be compromised by remaining longer in the
uterus. Possible problems could be:
Intrauterine growth retardation (IUGR).
(b) Decreased placental circulation (evidenced by late decelerations).
When done electively (occasionally).
(a) Induction may be done for the convenience of the physician or
patient due to the patient being a long distance from the hospital, history of rapid labor,
and term pregnancy with a history of herpes but two negatives cultures at present.
(b) This procedure is not strongly supported due to risks of the
medications, possibility of delivery of a preterm infant, and the possibility of cesarean
section due to failure of progress.
(4) When complications of pregnancy are present that may affect the fetus.
The complications are diabetes, hypertensive disease, hemolytic disease, postmaturity,
and premature rupture of membranes if term and no labor has started after twelve
c. Techniques Used for Induction.
Enema. An enema may stimulate contractions if the patient is ready.