NWH: Cervical Ripening and Labor Induction and Augmentation, 6th Edition

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Abstract

Cervical ripening and induction and augmentation of labor are common procedures in labor and birth units. The potential risks and benefits of the procedures should be explained to women so they can make an informed decision. Nurses should be knowledgeable about the methods and medications used and be skilled in maternal-fetal assessment. Adequate nurse staffing as per the AWHONN (2022c)Standards for Professional Registered Nurse Staffing for Perinatal Units is required to monitor the woman and fetus to promote the best possible outcomes.

This practice monograph includes information on mechanical and pharmacologic methods for cervical ripening; labor induction and augmentation with oxytocin, a high alert drug; and nurse staffing levels needed to provide safe and effective care during cervical ripening and labor induction and augmentation.