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Click ‘Get Form’ to open the Induction of Labour Referral Form in the editor.
Begin by entering the patient's surname, first name, and date of birth in the designated fields. Ensure accuracy for proper identification.
Fill in the address and postcode. If available, affix the patient label for convenience.
Provide contact details including home and mobile telephone numbers to facilitate communication.
Indicate the estimated due date (EDD) by LMP and complete sections on gravida and parity as applicable.
Complete the suitability for paper triage section, ensuring all criteria are met before proceeding.
Enter details of the Lead Maternity Carer (LMC) or private consultant, including their name and contact information.
Document any indications for induction and ensure that all necessary signatures are provided at the end of the form.
Review all entries for completeness before submitting. Use our platform's features to save or share your completed form easily.

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Can I ask my OB to induce me at 37 weeks?

Your physician, APP, or another member of your care team may offer an elective induction after 39 weeks of pregnancy. Your care team will help you decide if this is the right choice for you and your baby. If you have any questions or concerns, talk with your physician or nurse.

Can I request labor induction?

This is generally OK starting at 39 weeks. This can be a good idea if you live far from the hospital or you have a history of short labor. This is called an elective induction. Others may choose induction at 39 weeks because research shows it may reduce the risk of cesarean birth (c-section) in certain cases.

What is the protocol for induction of labor?

There are 2 main ways labour can be induced: Hormones can be put inside your using a vaginal tablet (pessary) or a gel, or given as tablets that you swallow. Devices such as balloon catheter (a small balloon, full of water) or an osmotic dilator (a type of sponge) can be used to widen your .