Absolute contraindications to induction of labor include all, EXCEPT:
**Core Concept**
The induction of labor is a medical procedure that stimulates uterine contractions to facilitate vaginal delivery. However, there are certain conditions that pose significant risks to both the mother and the fetus, making them contraindications to induction of labor.
**Why the Correct Answer is Right**
Induction of labor is contraindicated in cases where the cervix is not favorable for labor, such as in women with a cervical length of less than 2 cm or a bishop score of less than 6. This is because the cervix needs to be sufficiently ripe and effaced to accommodate the passage of the fetus during labor. Women with placenta previa are also at high risk of severe bleeding during labor and are typically managed with cesarean delivery. Similarly, women with active genital herpes lesions are at increased risk of neonatal herpes and are often managed with cesarean delivery.
**Why Each Wrong Option is Incorrect**
**Option A:** Fetal distress is a relative contraindication to induction of labor, as it may be managed with continuous fetal monitoring and adjustments to the induction process. However, it is not an absolute contraindication.
**Option B:** Placenta previa is an absolute contraindication to induction of labor due to the risk of severe bleeding.
**Option C:** Active genital herpes lesions are an absolute contraindication to vaginal delivery and often result in a cesarean delivery.
**Clinical Pearl / High-Yield Fact**
Remember that the American College of Obstetricians and Gynecologists (ACOG) recommends that women with a previous cesarean delivery or a history of uterine surgery should have a trial of labor after cesarean (TOLAC) if they desire a vaginal delivery, but induction of labor should be approached with caution in these cases.
**Correct Answer: A. Fetal distress**