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Standardizing Criteria for Scheduling Elective Labor Inductions

Durham, Laurel MPH, RN; Veltman, Larry MD; Davis, Peggy BSN, RN; Ferguson, Linda RNC; Hacker, Margaret BSN, RN; Hooker, Debra RN; Larison, Kristine MBA, RN; Pribyl, Jennifer BSN, RN; Twilleager, Karen BSN, RN; Van Hout, Gretchen BSN, RN

MCN: The American Journal of Maternal/Child Nursing: May-June 2008 - Volume 33 - Issue 3 - p 159–165
doi: 10.1097/01.NMC.0000318351.16106.b3
feature article

Induction of labor has become routine practice in perinatal units across the United States, with rates reaching a high of 21.2% of births in 2003–2004. This article describes the process our institution used to standardize the criteria for scheduling inductions. Specifically, we aimed to increase the consistency in practice for scheduling and performing elective inductions, including mandating gestational age of 39 completed weeks, ensuring cervical ripeness, and disallowing the use of cervical ripening agents. The nurses' participation, from planning to implementation, was critical in the success of this evidence-based practice change.

L&D nurses everywhere complain about the numbers of elective inductions, and the impact on nursing staffing and patient care. These nurses did something about it.

Laurel Durham is a Data Coordinator, Providence Health and Services Women and Children's Program, Portland, OR. She can be reached via e-mail at Laurel.durham@providence.org

Larry Veltman is a Risk Management and Perinatal Safety Consultant, Portland, OR.

Peggy Davis is a Day Shift Charge Nurse, Providence St. Vincent Hospital, Portland, OR.

Linda Ferguson is a Data Coordinator, Providence Health and Services Women and Children's Program, Portland, OR.

Margaret Hacker is a Staff Nurse, Providence St. Vincent Hospital, Portland, OR.

Debra Hooker is a Staff Nurse, Providence St. Vincent Hospital, Portland, OR.

Kristine Larison is a Nurse Manager, Perinatal Services, Providence St. Vincent Hospital, Portland, OR.

Jennifer Pribyl is a Day Shift Charge Nurse, Providence St. Vincent Hospital, Portland, OR.

Karen Twilleager is a Staff Nurse, Providence St. Vincent Hospital, Portland, OR.

Gretchen Van Hout is a Staff Nurse, Providence St. Vincent Hospital, Portland, OR.

There are no conflicts of interest with any of the authors requiring disclosure.

© 2008 Lippincott Williams & Wilkins, Inc.