This document outlines a scheme for managing labor and delivery based on cervical status and other factors. For women with an uncomplicated pregnancy and favorable cervix, membrane stripping and vaginal prostaglandin administration can be used to induce labor, followed by vaginal delivery if liquor is clear. For those with an unfavorable cervix, cesarean section is recommended if liquor is meconium stained or unclear, otherwise oxytocin can be used and a vaginal delivery attempted if fetal monitoring is satisfactory.

8. SCHEME OF
MANAGEMENT
UNCOMPLICATED COMPLICATED
CERVIX - FAVORABLE
CERVIX - UNRIPE
CERVIX - RIPE CERVIX - UNFAVORABLE
VAGINAL PGE2
STRIPPING OF
MEMBRANES
ARM CS
LIQUOR CLEAR
VAGINAL DELIVERY
LIQUOR-MECONIUM
STAINED
CS
LIQUOR CLEAR
OXYTOCIN DRIP
VAGINAL DELIVERY
LIQUOR UNCLEAR  FETAL MONITORING
SATISFACTORY FETAL BEHAVIOUR  VAGINAL DELIVERY
FETAL DISTRESS  CS
ARM ARM