Flashcards in Induction & Augmentation Deck (24):
Reasons to induce?
Diabetes - depends on control
Poor past obstetric history
Risk after membranes ruptured?
Placenta abrupt ion presents?
Reasons for significant abnormality termination?
Renal a genesis
Severe heart disease
Reasons against induction?
fetal growth restriction
Previous Caesarian section
Pelvis disproportion eg. Pelvic fractures PMHx
Methods to induce?
When should not use Prostin E2?
-Previous uterine scar
Vaginal after C-section?
Trial by scar
Artificial Rupture of membranes
When do amniotomy? When not too.
Only when head is close to cervix.
If it's too far, all fluid will rush out and maybe take the cord with it. Cord prolapse
Dosage of Syntocinon?
Side effects of Syntocinon?
Nausea, vomiting water intoxication and hyponatraemia
Complications of induction?
Uterine hyperstimulation - rupture
May fail to induce labour - may need to C-section. (Not rare)
Kielland's forceps for?
Help rotation, not used anymore.
Baby is engaged means?
Head is at the level of the ischial spines
4 kinds of instrumental delivery
(High)-don't really do it, do a C-section
Why do instrumental delivery?
2nd stage long
Malposition of presenting part
Pelvic floor nerve bundle, primal need to push and expulsive effort
Instrumental delivery needs?
Fully dilated cervix
Analgesia Epidural or spinal
Catheter passed - empty bladder
May need episiotomy
Forceps delivery may need?
Ventouse suction need episiotomy?
When do Nevile Barnes forceps used?
From anterior position
Subaponeurotic bleeding, intra cerebral bleeding