Special considerations--Induction of labor in low-resource settings.
Induction of labor in resource-limited settings has the potential to significantly improve health outcomes for both mothers and infants. However, there are relatively little context-specific data to guide practice, and few specific guidelines. Also, there may be considerable issues regarding the facilities and organizational capacities necessary to support safe practices in many aspects of obstetrical practice, and for induction of labor in particular. Herein we describe the various opportunities as well as challenges presented by induction of labor in these settings.
Division of Maternal Fetal Medicine, University of North Carolina School of Medicine, Chapel Hill, NC.
Marcela
M
Smid
Department of Obstetrics and Gynaecology, University Teaching Hospital, Lusaka, Zambia.
Yusuf
Y
Ahmed
Division of Maternal Fetal Medicine, University of North Carolina School of Medicine, UNC-Gillings School of Global Public Health, CB 7516, Chapel Hill, NC 27599. Electronic address: tivester@med.unc.edu.
Thomas
T
Ivester
D000328:Adult; D036861:Delivery, Obstetric / Q000191:economics / Q000379:methods* / Q000706:statistics & numerical data; D003906:Developing Countries; D005260:Female; D006801:Humans; D007223:Infant; D007751:Labor, Induced / Q000191:economics / Q000379:methods*; D016595:Misoprostol / Q000627:therapeutic use; D009035:Mothers; D007744:Obstetric Labor Complications / Q000191:economics / Q000453:epidemiology / Q000517:prevention & control*; D010120:Oxytocics / Q000627:therapeutic use; D011181:Postnatal Care / Q000191:economics / Q000379:methods*; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D011295:Prenatal Care / Q000191:economics / Q000379:methods*; D012959:Socioeconomic Factors; D014944:World Health Organization
D010120:Oxytocics; D016595:Misoprostol
developing country; induction of labor; intrapartum care; low-income country