National Institute of Nursing Education
PGIMER, CHANDIGARH
Lesson Plan on Induction of Labour
Submitted To: Submitted By:
Mrs. V. Venkadalakshmi Garima Sharma
Associate Professor M.Sc.(N)2nd Year
NINE, PGIMER NINE, PGIMER
Chandigarh Chandigarh
SUBJECT - Obstetric Nursing and Midwifery.
TOPIC- Induction of labour.
GROUP OF STUDENTS -
NO. OF STUDENT -
METHOD OF TEACHING - Demonstration
TIME OF TEACHING -
DURATION - 35-40 minute
VENUE -
SUPERVISOR : - Mrs. V.Venkadalakshmi
PREVIOUS KNOWLEDGE - Student have some previous knowledge about Induction of labour.
GENERAL OBJECTIVE - At the end of the class student will have knowledge regarding Induction of labour.
SPECIFIC OBJECTIVE - At the end of the class the student will be able to:
Define Induction of Labour.
Explain the purposes of Induction of labour.
Enumerate the articles used in Induction of Labour.
Discuss the steps of procedure in Induction of Labour by Oxytocin.
Developing a trusting relationship between patient and healthcare providers to alleviate anxiety and fear
associated with induction of labour.
Discuss the steps of procedure in Induction of Labour by Prostaglandin.
Discuss the steps of procedure in surgical induction of Labour
S.No Specific Time Content Teaching Learning Evaluation
Method
Objective
Teaching A.V. Aids
Method
Lecture
1. At the end of 2 min Introduction: Most of the women have spontaneous onset of cum What is induction of
the class labour. For some women drugs are given artificially to stimulate the discussion labour?
student will uterine contraction.
be able to
introduce the
topic.
Definition
2. Define 2min It is a procedure where pregnancy is deliberately terminated after 28
Induction of weeks of pregnancy, as a matter of urgency, either for the mother or Lecture What is the definition of
Labour. the fetus, by any method- medical, surgical or combined, which cum Induction of labour?
aims at initiation of labour and vaginal delivery. discussion
Purposes
To prevent risks of continuation of pregnancy either to the
3. mother or to the fetus in cases like pre eclampsia,
Enumerate
eclampsia, maternal complications like diabetes mellitus,
the purposes 2min
Induction of chronic renal disease, abruptio placenta, IUGR, Rh- What are the purposes of
isoimmunization, premature rupture of labour, IUD, Lecture Induction of Labour?
Labour.
oligohydrominous , polyhydrominous cum
discussion
Articles
4. Enlist the Hand washing articles
articles used Screen
for induction 2min Lecture Real
of labour.. Spot light or flash light cum objects with
patient. What are the articles used
Stethoscope Demonstrati in Induction of Labour?
on
Mask, apron and sterile gown
Tray containing-
Small mackintosh
Articles for cleaning the skin- spirit, betadine, adhesive tape,
sterile swabs, kidney tray.
Veinflon
Sterile IV set
Disposable syringes
Normal saline
Medications- Oxytocin/ cerviprime/ Mifepristone
Steps of Procedure
5. Explain the
steps of Pre-procedural Steps Lecture Real
procedure for cum objects with What are the steps of
Ask mother to void to empty the bladder and make her Demonstrati patient. procedure for Induction
Induction of comfortable before procedure. of Labour?
Labour. on
Check the fetal heart rate, uterine contraction rate, abdominal
7min
and vaginal findings before induction of labor.
Prepare the perineal area to minimize the infection (shave the
perineal area).
Enema to be given before induction to induce labor. Lecture Real
Check written order carefully to avoid any mistake. cum objects with
Demonstrati patient.
Keep all the articles ready to save the time. on
Explain the procedure to reduce anxiety of mother.
Wash hands to prevent cross infection
Intraprocedural Steps
Place mackintosh under the mother’s arm.
Sit up the IV tubing and adjust the drops/min
Add the loaded oxytocin in IV bottle after calculation as
advised by the physician.
Postprocedural Steps
Observe uterine contraction for intensity, duration and
frequency and record accurately.
Record fetal heart sound throughout the course of drip.
Watch for vital signs of mother.
When strong contractions lasting over 60 seconds and
occurring frequently with intervals <3 minutes, tonic uterine
contractions, fetal distress, occurrence of increased or
decreased fetal movements notify to the physician.
Gradually increase the drops after doctor’s prescription
ensuring that everything is normal
Contraindication of induction of labour are cephalopelvic
disproportion, fetal distress, previous C-section, multiple birth,
heart condition, prematurity, unengaged presentation.
6. Explain the Steps of Induction of Labour by Prostaglandins
steps of
Pre-procedural Steps Lecture Real What are the steps of
Induction of
Labour by Approach the woman pleasantly to establish rapport. cum objects procedure for Induction
Prostaglandin with patient of Labour by
Check written orders to avoid mistakes Demonstrati Prostaglandins?
s. on
Keep all the articles ready to save time,
Explain the procedure to the mother to reduce anxiety.
7min
Wash hands to prevent cross infection.
Provide privacy to reduce anxiety.
Intraprocedural Steps
• Assist the doctor to insert prostaglandin (Misoprostol) gel into the
posterior fornix close to cervix.
Postprocedural Steps
Advice the woman to stay recumbent as contraction begins,
Observe uterine contraction for intensity, duration and
frequency, and record accurately.
Record fetal heart sound.
Watch for vital signs of mother.
Doctor must be notified immediately for any abnormal
observation.
Surgical Induction of Labour
Articles
Sterile tray
Bowl and swabs
Explain the Sponge-holding forceps
steps of
7. Kocher (to rupture the membranes) Lecture Real What are the steps of
Surgical
induction of Kidney tray cum objects with procedure for Surgical
Labour. patient induction of Labour?
Perineal pads Demonstrati
on
Pre -procedural Steps
7min
Approach the woman pleasantly to establish rapport.
Check written order carefully to avoid any mistake.
Keep all the articles ready to save time.
Explain the procedure to the mother to reduce anxiety.
Wash hands to prevent cross infection.
Provide privacy to reduce anxiety.
Intraprocedural Steps
Assist the doctor to pass a long Kocher up to the cervical canal
and rupture the membranes
After perineal and vaginal toileting with antiseptic solution and
usual draping with sterile towels, doctor will introduce two
fingers into the vagina smeared with antiseptic ointment.
The index finger is passed through the cervical canal beyond
the internal os.
The membranes are swept free from the lower segment as far as
reached by the finger. When one or two fingers are still in
cervical canal with the palmar surface upward, a long Kocher's
forceps with a blade closed, is introduced along the palmar
aspect of the fingers up to the membranes. The blades are open
to seize the membrane and are torn by twisting movements, Real
which is followed by visible escape of amniotic fluid. objects with
Lecture partient
Postprocedural Steps cum
demonstrati
Observe uterine contraction (for intensity duration and on
frequency and record accurately).
Record fetal heart sound.
Watch for vital signs of mother.
Assess fetal heart rate, note the color and amount of the
amniotic fluid, status of cervix, station of head, and presence or
absence of cord prolapsed.
Doctor must be notified immediately for abnormal observation
Definition of Induction of labour
Purposes of Induction of labour.
Articles required for Induction of Labour
Induction of Labour by Oxytocin
Induction of Labour by Prostaglandin
Surgical induction of Labour
What is the definition of Induction of labour?
8. Summarize 2min
What are the purposes of Induction of Labour?
What are the various ways to induce labour?
Most of the women have spontaneous onset of labour. For some
women drugs are given artificially to stimulate the uterine
contraction. A nurse should prepare the client for the process and
should be able to assist the physician efficiently throughout the
induction. A nurse should also closely monitor the client during and
after the induction of labour smooth transition and to prevent any
complications.
Enlist the articles required for Induction of labor?
9. Evaluation 2min Explain is medical method used for induction of labor?
Define steps for induction of labor?
The ultimate goal of labor induction is to achieve vaginal delivery
by stimulating uterine contractions before the spontaneous onset of
labor. Labor induction is clearly indicated when the benefits
outweigh the maternal and fetal risks of continued gestation, as well
10. Conclusion 2min as potential risks associated with the procedure.
Ghai. S.Clinical Nursing Procedures.2nd edition, CBS
publishers and distributors pvt. Ltd..New Delhi, p- 710-713
Dutta DC, Konar H. Textbook of Obstetrics, 6th edition.
New Central Book Agency (P) Ltd., Delhi; 2004. pp. 522-8
11. References TNAI manual, clinical procedures www.lippincotts nursing
centre.com.
RamanAV.MaternityNursing,19thedition.WoltersKluwer(ind
ia)Pvt.ltd. Delhi;2011
