Was labor induced or not? How can I tell?

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Specializes in Pediatric Critical Care.

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Hello all! In my job, I do a lot of chart review that includes H&P notes following delivery of a baby.  I see a LOT of charts that indicate that the baby was born by "SVD" or spontaneous lady partsl delivery....but then later will say that mother was induced for such and such reason.

So...which is it?  Were they induced or did the go into labor spontaneously?  How can I know?  I assume it is my lack of understanding rather than poor documentation because I see it ALL the time.

Thanks to anyway that can help me understand better!

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Specializes in Pediatric Critical Care.

Here is an example:

"To L&D today for a scheduled induction. Progressed quickly to a SVD."

Does this mean they induced or not?

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5 hours ago, Julius Seizure said:

[...]

"To L&D today for a scheduled induction. Progressed quickly to a SVD."

Does this mean they induced or not?

As I understand this, the onset of labor can either be induced, as in your scenario or occur spontaneously.  Either way, once labor begins lady partsl delivery can occur either spontaneously or be instrument assisted.

Hopefully one of the OB/GYN L&D experts will weigh in.

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Specializes in Medical-Surgical, Physician's Office, Clinic & LTC.

Hi there,

I do not work in L&D, however, I was fascinated by your question.  So, I did some asking around and some quick research.  From what I can gather with my newfound information an induction can lead to a spontaneous lady partsl delivery which by definition is a lady partsl delivery without the use of forceps or other tools.  In other words, going into labor spontaneously is a broad term covering both going into labor on or before the due date, in any location other than a hospital, in other words; OR occurring after induction methods in a medical facility.  In the previous post you had an example of the progress note which stated "To L&D today for a scheduled induction.  Progressed quickly to SVD."  I believe this is technically correct.  I am obviously not a doctor so I cannot say how or what is right to chart, but in my opinion it may have been helpful to have included something like "induction successful [or terminated], which progressed quickly to SVD."  This might be the indicator you were looking for, which would tell whether the patient was induced or not.

Perhaps someone from your facility's Labor & Delivery department can answer this for you, or as someone else mentioned here one of the L&D nurses can answer this.  I look forward to seeing more posts about this.  ?

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Specializes in Nurse Leader specializing in Labor & Delivery.

Spontaneous lady partsl delivery just means that the delivery itself was without any assistance (I.e. forceps or vacuum). The alternative to SVD is VAVD (vacuum assisted lady partsl delivery) or low-forceps delivery. A vacuum or forceps is also called an "instrumental delivery". 

SVD has nothing to do how LABOR started. So yes, inductions of labor (IOL) usually result in an SVD. ?

The OB/L&D world is fraught with esoteric acronyms. If you ever have any other type of questions, feel free to DM me. ?

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Specializes in Nurse Leader specializing in Labor & Delivery.

I once saw something similar to this in a chart. Only to an OB nurse would this sentence make PERFECT sense. ?

The G5P1122 at 38w2d (LMP and TVUS) here with FOC for IOL with TOLAC. Hx of PPROM, GHTN, and A2GDM. Pt has BBOW and fetus is ROA.

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Specializes in Medical-Surgical, Physician's Office, Clinic & LTC.

Thank you for the clarification!  I think the word "spontaneous" is confusing.  The dictionary definition is 

"performed or occurring as a result of a sudden inner impulse or inclination and without premeditation or external stimulus."   Synonyms:

unforced · voluntary · unconstrained · unprompted · unbidden · unsolicited · 

unplanned · unpremeditated · unreheorificed · impulsive · impetuous · unstudied

I can see where this would get confusing as a planned induction would seem not very spontaneous.  LOL

?

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Specializes in Nurse Leader specializing in Labor & Delivery.

Agree! In the OB world, LABOR, and DELIVERY, are two separate events. So the labor can be very much NOT spontaneous, but the delivery is. ?

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Specializes in Medical-Surgical, Physician's Office, Clinic & LTC.

@klone, MSN, RN,

This Acronym salad is a whopper!  Haha.  I am sure if I worked in your area of expertise, it would make perfect sense.  I believed I learned all these terms once, but you know what they say...if you don't use it you sometimes lose it.  Thanks for doing what you do!?

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Specializes in BSN Applicant.
10 hours ago, klone said:

I once saw something similar to this in a chart. Only to an OB nurse would this sentence make PERFECT sense. ?

The G5P1122 at 38w2d (LMP and TVUS) here with FOC for IOL with TOLAC. Hx of PPROM, GHTN, and A2GDM. Pt has BBOW and fetus is ROA.

Please can we get a translation?  Because- ?.

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11 hours ago, Norubit15 said:

Thank you for the clarification!  I think the word "spontaneous" is confusing.  The dictionary definition is 

"performed or occurring as a result of a sudden inner impulse or inclination and without premeditation or external stimulus."   Synonyms:

unforced · voluntary · unconstrained · unprompted · unbidden · unsolicited · 

unplanned · unpremeditated · unreheorificed · impulsive · impetuous · unstudied

I can see where this would get confusing as a planned induction would seem not very spontaneous.  LOL

?

Spontaneous labour and spontaneous delivery aren't the same thing ?

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Specializes in Medical-Surgical, Physician's Office, Clinic & LTC.

@Trixie Adelaide,

For grins and giggles, I have decided to try and decipher some of this.  Okay, so going back a bit in my learning, here's my take on it:

Quote

The G5P1122 at 38w2d (LMP and TVUS) here with FOC for IOL with TOLAC. Hx of PPROM, GHTN, and A2GDM. Pt has BBOW and fetus is ROA.

I know that G stands for Gravida or number of pregnancies, so I guess this is 5 pregnancies, then Para or number of babies delivered, so I guess this is 1 baby delivered, whereas the next set of numbers are identified by the TPAL score, so the T stands for number of term pregnancies which is 1, the P stands for the number of pre-term pregnancies which is 2, A stands for number of abortions/miscarriages which is 2 and the L stands for living children, which is 2.  

Now, this next part is going to be tricker... 38w2d (LMP and TVUS) I believe stands for mother is 38 weeks and 2 days pregnant as observed by last menstrual period and translady partsl ultrasound.  Mother is here with FOC or force of contraction for IOL or induction of labor with TOLAC or trial of labor after cesarean delivery.  History of PPROM or pre-term rupture of membranes, History of GHTN or gestational hypertension, and A2GDM or gestational diabetes melliltus managed by medicine.  Patient has BBOW or bulging bag of water, and fetus is ROA or right occiput anterior.

This took a little bit of my memory, and I did have to look up the terms BBOW and A2GDM because I didn't remember learning these.  I knew of gestational diabetes but didn't remember it as being part of the Gravida Para numbers when I learned them.  I am older, so perhaps they didn't exist then.  LOL.  I will be honest in that I laughed when I learned that BBOW stood for "Big bag of water."  It seems there might be a more technical term for it.  Anyway, this is a good brain exercise for a nurse who doesn't work in Labor and Delivery, so I am glad I took a stab at it.  

It will be fun to see how the real Labor and Delivery nurses think I did. ?

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