Induction and Augmentation of Labor

Question 1

Definition of Labor

Answer 1

regular uterine contractions that cause cervical change in either effacement or dilation

Question 2

Definition of Prodromal Labor

Answer 2

False labor. Irregular contractions that vary in duration, intensity, and intervals, and yield little or no cervical change

Question 3

Methods of labor induction?

Answer 3

Prostaglandins (PGE2, PGE1M Misoprostol)
Oxytocic agents
Mechanical dilation (Cervidil pessary, 30 or 60 cc Foley bulb)
Artificial ROM (amniotomy)

Question 4

Maternal and Obstetric contraindications to using prostaglandins

Answer 4

Asthma, glaucoma
Prior C-sections
Non-reassuring fetal testing

Question 5

Risks to using PGE2 gel

Answer 5

Uterine hyperstimulation

Tetanic contractions

Question 6

At what rate would the 30 or 60 cc Foley bulb dilate cervix?

Answer 6

2-3 cm in 4-6 hrs.

Question 7

With what agent is labor induction formally begun?

Answer 7

Oxytocin IV drip (rapidly metabolized)

Question 8

What should you look for right after puncturing the amniotic sac during an amniotomy?

Answer 8

Ensure umbilical cord prolapse has not occurred

Question 9

In what ways can adequacy of contractions be determined?

Answer 9

By the progress of cervical change

Via Intrauterine Pressure Catheter (IUPC)