Focus on safety and choice in new induction of labour policy For the first time in 25 years, the way women are induced in labour has changed at NSLHD hospitals.
A lower dose of the hormone, oxytocin, is given to some women to induce labour, in a measure Michelle de Vroom, co-clinical director nursing and midwifery directorate/maternal, neonatal and women’s health network, said sometimes women need to have their labour induced artificially. To do this, sometimes an oxytocin infusion is given, which is a synthetic form of the hormone women produce naturally to make the womb contract in labour. Oxytocin is also given afterwards to help birth the placenta and prevent or treat bleeding. The solutions prepared for each situation were different strengths of oxytocin. To minimise any errors, the International Medication Safety Network recommended the same oxytocin infusion concentration be available for labour and prevention and treatment of postpartum haemorrhage. “For more than 25 years in Northern Sydney Local Health District. the regime for both the labour induction infusion and the one used after the birth have remained unchanged,” Michelle said. “The new induction of labour policy places a greater focus on the importance of comprehensive assessments when planning induction of labour and the importance of informed decision-making, trauma-informed care and individualised care, reflecting a woman’s choices around the care they receive.”
Midwives at Royal North Shore Hospital ready for the new induction of labour policy change
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