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    Obg

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    © All Rights Reserved
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    76 views16 pages

    Augmentation of Labour

    Uploaded by

    SANA
    Obg

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    of 16
    INTRODUCTION ‘The culmination of normal pregnancy involves three stages: prelabour, cervical ripening and labour. +Endogenous prostaglandins play a part in all these processes. sInterventions to artificially ripen the cervix, induce uterine contractions and augment labour once it is in progress also lack distinct boundaries. +Labour induction and augmentation may be a source of conflict and distress. +For most health workers they are seen as routine, technical procedures. For many women, they have emotive connotations, evoking a sense of personal inadequacy and eroded self-esteem. It is important for health workers to approach the question of labour induction with sensitivity, and to involve women in the decision-making process. Labour induction is one of the most frequent medical procedures in pregnant women. It is a major intervention in the normal course of pregnancy, with the potential to set in motion a cascade of interventions, particularly Caesarean section. However, with modern methods of labour induction, this risk appears to have diminished. DEEINITION; Induction of Labor (IOL) is defined as artificial stimulation of uterine contractions before the onset of labor. Augmentation refers to stimulation of spontaneous contractions that are considered inadequate because of failed cervical dilation and fetal descent. GOAL: ‘The goal of IOL is to eliminate the potential risks to the fetus with prolonged intra uterine existence while minimizing the likelihood of operative delivery . INCIDENCE: The overall incidence of IOL. has increased globally. In a survey by the National Center for Health Statistics the rate of labor induction was noted to have increased from 90 per1,000 live births in 1989 to 184 per 1,000 live births in 1997 Indications For induction: Hypertensive disorders of pregnancy ( pre-eclampsia, eclampsia chronic hypertension) ‘Diabetes, renal disease, chronic pulmonary disease Premature rupture of membranes *Chorioamnionitis Fetal growth restriction *Rh isoimmunization *Postdated pregnancy Fetal demise *Abruptio placentae +Fetal malformations incompatible with life sLogistie factors: Risk of rapid labor, distance from hospital, psychosocial indications Contraindications to the induction of labor: *Major degree of Placenta praevia Vasa praevia

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