Final answer:
The contraindication for induction of labor in this case is a Previous cesarean section with a classic incision, due to the higher risk of uterine rupture during induced contractions. In such cases, a Caesarian section is often the safer alternative.
Step-by-step explanation:
A contraindication for induction of labor is a situation where the induced labor could pose a risk either to the mother or the fetus. The answer to the student's question is Previous cesarean section with a classic incision. This type of incision, which is an up-and-down cut made in the upper part of the uterus, is more prone to tearing during contractions that can result from labor, especially if labor is induced artificially.
This can lead to severe complications such as uterine rupture, endangering both the mother and the baby. Induction of labor might be recommended in cases like postterm dates, where the pregnancy has extended beyond the typical 40-week timeframe, or maternal hypertension, which could pose risks to both the mother and the fetus if left unmanaged. In the case of fetal death, inducing labor may be necessary to prevent infection or other complications.
Inducing labor for a patient like Janine, who is 41 weeks pregnant and experiencing stalled labor, with mild contractions and only 2 cm dilation, is common practice. The labor is induced with pitocin, a synthetic form of the hormone oxytocin, which is responsible for stimulating uterine contractions. The goal is to manage the labor effectively and facilitate vaginal delivery.
An alternative to induction in the presence of a contraindication such as a classical cesarean incision would be a planned Caesarian section, which is a major abdominal surgery allowing safe delivery of the baby while avoiding the risks associated with contractions on a vulnerable uterine scar.