Indication for induction of labour is:
**Core Concept**
Induction of labour refers to the medical intervention to stimulate uterine contractions before the onset of spontaneous labour to achieve vaginal delivery. This is often necessary in cases where the continuation of pregnancy poses a risk to the mother's or fetus's health.
**Why the Correct Answer is Right**
Labour induction is typically considered when the fetus is at or near term (37-42 weeks of gestation) and the mother's health or the fetus's well-being is at risk. This can include conditions such as gestational hypertension, pre-eclampsia, or placental insufficiency, where the fetus may not receive adequate oxygen and nutrients. Induction of labour can also be considered in cases of post-term pregnancy (beyond 42 weeks), as it reduces the risk of fetal growth restriction and other complications.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because induction of labour is not typically indicated for elective reasons, such as a mother's personal preference or a non-medical reason.
**Option B:** This option is incorrect because induction of labour is not a treatment for conditions such as anxiety or depression, which are not directly related to the mother's or fetus's health.
**Option C:** This option is incorrect because induction of labour is not a treatment for conditions such as cervical spondylosis or other musculoskeletal disorders, which are not directly related to the mother's or fetus's health.
**Clinical Pearl / High-Yield Fact**
A key consideration when deciding to induce labour is the Bishop score, which assesses the cervix's readiness for labour. A Bishop score of 6 or higher indicates a favourable cervix for induction, while a score of 5 or lower may require additional interventions or a wait period.
**Correct Answer: A. Post-term pregnancy (beyond 42 weeks) or maternal/fetal health risk.**