Exam (elaborations)
PN 131 INTRAPARTUM COMPLICATIONS TEST 2
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PN 131 INTRAPARTUM COMPLICATIONS TEST 2...
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Amnioinfusion-putting amnio fluid in
-umbilical cord compression
-reduction of recurrent variable decelerations
-dilution of meconium-stained amniotic fluid
0replaces the "cushion" for the umbilical cord and relieves the variable
decelerations
induction
bishop scoring system: score above 6 predicts success
Augmentation
adding to contractions/change and make them stronger- give oxytocin
Indications for Labor Induction
-Gestational hypertension
-Ruptured membranes without spontaneous onset of labor
-Infection within the uterus
-Medical problems in the woman that worsen during pregnancy
-Fetal problems such as slowed growth, prolonged pregnancy, or
incompatibility between fetal and maternal blood types
-Placental insufficiency
-Fetal death
Contraindications to Labor Induction
, -Placenta previa
-Umbilical cord prolapse
-Abnormal fetal presentation
-High station of the fetus
-Active herpes infection in the birth canal
-Abnormal size or structure of the mother's pelvis
-Previous classic cesarean incision
Nonpharmacologic Methods to Stimulate Contractions
Walking
-Stimulates contractions -Eases pressure of the fetus on the mother's back
-Adds gravity to the downward force of contraction
Nipple stimulation of labor
- Causes the pituitary gland to secrete natural oxytocin
Pharmacological Methods to Stimulate Contractions
Cervical ripening
-Prostaglandin in a gel or vaginal insert is applied before labor induction to
soften the cervix
-Laminaria is an alternative to cervical ripening by swelling inside the cervix
Oxytocin induction and the augmentation of labor
-Used to initiate or stimulate contractions
-Most commonly used method
Amniotomy
-The artificial rupture of membranes
-Done to stimulate or enhance contractions
-Commits the woman to delivery
-Stimulates prostaglandin secretion
-Complications:
-Prolapse of the umbilical cord
-Infection
-Abruptio placentae
version
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