Nursing Roles and Clinical Considerations in the Induction of Labor

Fahad Abdullah Nasir Alotibi (1), Khulud Abdullah Aldosseri (2), Abrar Yousef Banibakhsh (3), Raed Ibrahim Ismail Mawkili (4), Wejdan Ibrahim Alaithan (5), Bander Hussan Almutery (6), Abdulrahman Almutairi (7), MUQRIN KHALAF ALMUTAIRI (8), Heassa Saleh Saad Alhumaidy (9), Woroud Jarallah Mualla Alreshidi (10), ADEL KHALID SAAD ALHARBI (11), Shatha Ali Albargi (12)
(1) Dharma Hospital in Dharma Governorate, Ministry of Health, Saudi Arabia,
(2) PHC Badr 3, Ministry of Health, Saudi Arabia,
(3) Ministry of Health - Virtual Health Hospital, Saudi Arabia,
(4) Prince Sultan Health Center in Ahmadiyya, Ministry of Health, Saudi Arabia,
(5) Forensic Medical Services Center in Al-Ahsa - Ministry of Health, Saudi Arabia,
(6) King Faisal District primary Health care center, Ministry of Health, Saudi Arabia,
(7) Healthy Mansoura, Ministry of Health, Saudi Arabia,
(8) King Khaled Hospital-Majmaah, Ministry of Health, Saudi Arabia,
(9) Ministry of Health, Saudi Arabia,
(10) Hail General Hospital, Ministry of Health, Saudi Arabia,
(11) Health Cluster in Qassim, Ministry of Health, Saudi Arabia,
(12) Al-Quwayiyah General Hospital, Ministry of Health, Saudi Arabia

Abstract

Background: Induction of labor is a common obstetric intervention used to initiate uterine contractions when continuation of pregnancy poses greater maternal or fetal risk than delivery. Its global use has increased substantially, requiring safe, evidencebased clinical practice and effective interprofessional collaboration.


Aim: This article aims to review the clinical considerations of labor induction and highlight the essential nursing roles in ensuring maternal and fetal safety during the induction process.


Methods: A narrative review of current obstetric guidelines, clinical trials, and systematic reviews was conducted to examine indications, contraindications, methods, complications, and nursing interventions related to induction of labor.


Results: Induction of labor is indicated for various maternal and fetal conditions such as hypertensive disorders, diabetes, fetal growth restriction, and postterm pregnancy. Mechanical and pharmacological methods are widely used, each with specific benefits and risks. Evidence demonstrates that appropriately managed induction does not increase cesarean section rates and may improve perinatal outcomes. Nurses play a pivotal role in assessment, medication administration, continuous fetal monitoring, early detection of complications, and patient education.


Conclusion: Induction of labor is a complex yet essential obstetric intervention that requires comprehensive clinical assessment and skilled nursing care. Adherence to evidencebased protocols and effective teamwork is critical to optimizing outcomes.

Full text article

Generated from XML file

References

Tsakiridis I, Mamopoulos A, Athanasiadis A, Dagklis T. Induction of Labor: An Overview of Guidelines. Obstetrical & gynecological survey. 2020 Jan:75(1):61-72. doi: 10.1097/OGX.0000000000000752.

ACOG Practice Bulletin No. 107: Induction of labor. Obstetrics and gynecology. 2009 Aug:114(2 Pt 1):386-397. doi: 10.1097/AOG.0b013e3181b48ef5.

Marconi AM. Recent advances in the induction of labor. F1000Research. 2019:8():. pii: F1000 Faculty Rev-1829. doi: 10.12688/f1000research.17587.1.

ACOG committee opinion no. 560: Medically indicated late-preterm and early-term deliveries. Obstetrics and gynecology. 2013 Apr:121(4):908-910. doi: 10.1097/01.AOG.0000428648.75548.00.

Escobar CM, Grünebaum A, Nam EY, Olson AT, Anzai Y, Benedetto-Anzai MT, Cheon T, Arslan A, McClelland WS. Non-adherence to labor guidelines in cesarean sections done for failed induction and arrest of dilation. Journal of perinatal medicine. 2020 Oct 12:49(1):17-22. doi: 10.1515/jpm-2020-0343.

American College of Obstetricians and Gynecologists (College), Society for Maternal-Fetal Medicine, Caughey AB, Cahill AG, Guise JM, Rouse DJ. Safe prevention of the primary cesarean delivery. American journal of obstetrics and gynecology. 2014 Mar:210(3):179-93. doi: 10.1016/j.ajog.2014.01.026.

Levine LD, Downes KL, Elovitz MA, Parry S, Sammel MD, Srinivas SK. Mechanical and Pharmacologic Methods of Labor Induction: A Randomized Controlled Trial. Obstetrics and gynecology. 2016 Dec:128(6):1357-1364

Kemper JI, Li W, Goni S, Flanagan M, Weeks A, Alfirevic Z, Bracken H, Mundle S, Goonewardene M, Ten Eikelder M, Bloemenkamp K, Rengerink KO, Kruit H, Mol BW, Palmer KR. Foley catheter vs oral misoprostol for induction of labor: individual participant data meta-analysis. Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology. 2021 Feb:57(2):215-223. doi: 10.1002/uog.23563.

Grobman WA, Rice MM, Reddy UM, Tita ATN, Silver RM, Mallett G, Hill K, Thom EA, El-Sayed YY, Perez-Delboy A, Rouse DJ, Saade GR, Boggess KA, Chauhan SP, Iams JD, Chien EK, Casey BM, Gibbs RS, Srinivas SK, Swamy GK, Simhan HN, Macones GA, Eunice Kennedy Shriver National Institute of Child Health and Human Development Maternal–Fetal Medicine Units Network. Labor Induction versus Expectant Management in Low-Risk Nulliparous Women. The New England journal of medicine. 2018 Aug 9:379(6):513-523. doi: 10.1056/NEJMoa1800566.

Darney BG, Snowden JM, Cheng YW, Jacob L, Nicholson JM, Kaimal A, Dublin S, Getahun D, Caughey AB. Elective induction of labor at term compared with expectant management: maternal and neonatal outcomes. Obstetrics and gynecology. 2013 Oct:122(4):761-769. doi: 10.1097/AOG.0b013e3182a6a4d0.

Gu N, Ru T, Wang Z, Dai Y, Zheng M, Xu B, Hu Y. Foley Catheter for Induction of Labor at Term: An Open-Label, Randomized Controlled Trial. PloS one. 2015:10(8):e0136856. doi: 10.1371/journal.pone.0136856.

ACOG Practice Bulletin No. 135: Second-trimester abortion. Obstetrics and gynecology. 2013 Jun:121(6):1394-1406. doi: 10.1097/01.AOG.0000431056.79334.cc.

Kumar N, Haas DM, Weeks AD. Misoprostol for labour induction. Best practice & research. Clinical obstetrics & gynaecology. 2021 Nov:77():53-63. doi: 10.1016/j.bpobgyn.2021.09.003.

Chow R, Li A, Wu N, Martin M, Wessels JM, Foster WG. Quality appraisal of systematic reviews on methods of labour induction: a systematic review. Archives of gynecology and obstetrics. 2021 Dec:304(6):1417-1426. doi: 10.1007/s00404-021-06228-y.

Authors

Fahad Abdullah Nasir Alotibi
Falotaibi77@moh.gov.sa (Primary Contact)
Khulud Abdullah Aldosseri
Abrar Yousef Banibakhsh
Raed Ibrahim Ismail Mawkili
Wejdan Ibrahim Alaithan
Bander Hussan Almutery
Abdulrahman Almutairi
MUQRIN KHALAF ALMUTAIRI
Heassa Saleh Saad Alhumaidy
Woroud Jarallah Mualla Alreshidi
ADEL KHALID SAAD ALHARBI
Shatha Ali Albargi
Alotibi, F. A. . N., Khulud Abdullah Aldosseri, Abrar Yousef Banibakhsh, Raed Ibrahim Ismail Mawkili, Wejdan Ibrahim Alaithan, Bander Hussan Almutery, … Shatha Ali Albargi. (2025). Nursing Roles and Clinical Considerations in the Induction of Labor. Saudi Journal of Medicine and Public Health, 2(2), 2741–2749. https://doi.org/10.64483/202522469

Article Details

Most read articles by the same author(s)