Cervical Ripening/ Induction Agents

Midwives without specialized practice certification may administer a cervical ripening pharmacologic agent for induction of labour with a physician order. As with any induction method where a physician has prescribed the inducing pharmacological agent, the midwife shall continue to be involved in care as the condition warrants.

A midwife with specialized practice certification may, on her own responsibility, order and administer a cervical ripening pharmacologic agent for induction of labour in hospital as per the CMBC Framework for Midwife Certification for Prescribing, Ordering, Administering and Managing Induction and Augmentation of Labour in Hospital and in conjunction with local hospital protocols.

Prostaglandins E1/Misoprostol (Cytotec©)