Induction & Augmentation
Midwifery Resource: Impacts of the ARRIVE Trial
This document is designed to support midwives in contextualizing the results of the ARRIVE trial when talking to clients and other health-care providers.
Pregnancy beyond 40: A Clinical Backgrounder for Midwives
An overview of select evidence related to key outcomes of interest to midwives caring for clients who are age 40 and older.
For Clients: In Due Time: Pregnancy Beyond 40 and Induction of Labour
A focused review of the research regarding induction of labour for clients who are age 40 and over. This client resource is also available in five other languages.
HIROC's risk reference sheet on induction and augmentation
HIROC's risk reference sheets address common concerns and incidents associated with inductions and augmentations.
Sample protocols, submitted by midwifery practices, are available on induction and augmentation, using both oxytocin and misoprostol, for practices to download and adapt. Be sure to tailor the template to reflect current evidence, best practices and practice group / community specific info before use.
Other Resources
SOGC Guideline No. 432c: Induction of Labour
Updated in January 2023, this Guideline outlines the evidence related to cervical ripening and the induction of labour with both misoprostol and oxytocin.
Misoprostol Induction of Labour, October 2020
This powerpoint reviews the indications, pharmacokinetics, and physiology of misoprostol, analyzes the evidence and presents a sample protocol.
Safe Administration of Oxytocin
The Provincial Council for Maternal and Child Health (PCMCH) has developed best practice recommendations for the safe administration of oxytocin used in augmentation and/or induction.
Oxytocin to start or advance labour: 5 questions to ask
Institute for Safe Medication Practices Canada's implementation guide is designed to support health care providers when talking to patients about the use of oxytocin to start or advance labour.
This infographic summarizes key messages related to the use and management of oxytocin in labour induction and augmentation.