Flashcards in T2 - Induction and Augmentation (Josh) Deck (14):
Guidelines for Induction of Labor are set by ---
***no elective induction until 39 wks
What are some indications for Induction of Labor?
Hypertensive complications of pregnancy
Post term pregnancy, especially with oligohydramnios
IUGR – Intrauterine growth restriction
PROM with established fetal maturity
What are contraindications for Induction of Labor?
Acute, fetal distress
Shoulder presentation (transverse lie)
Floating fetal presenting part
Previous uterine incision that prohibits a trial of labor
What does Oxytocin do?
aids in labor
milk let down
What is the synthetic form of oxytocin?
***double-check dosing b/c too much can rupture uterus
If contractions come too close together, what should we have available?
Terbutaline (contraindicated in some hospitals b/c it causes tachycardia)
What do the Mechanical Methods of Induction attempt to do?
ripen the cervix by stimulating the release of endogenous prostaglandins
What are some Chemical Methods of Induction?
Prostaglandins (cervidel, cytotec, prepidil)
Herbals (black cohosh, raspberry leaves, primrose oil)
Examples of Mechanical Methods of Induction.
Dilators (absorb fluid and expand to cause cervical dilation)
- releases oxytocin
What is Augmentation?
stimulation of UC after labor has started but progression is unsatisfactory
***same methods as Induction
What is the Definition of Labor?
What can be used to evaluate iducability of a patient?
rating system like BISHOP SCORE (need score of 8 or more)
Is Oxytocin (Pitocin) a high alert med?
it can rupture uterus if given in too high a dose