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Augmentation and induction of labor Questions and Correct Answers | Latest Update

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What is labor augmentation?  Process of increasing the frequency and/or strength of ctx to bring a faster labor or faster birth What are the three methods of labor augmentation?  nipple stimulation AROM oxytocin Nipple stim  release of oxytocin via breast stim (resembling breastfe...

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  • October 3, 2024
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  • 2024/2025
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  • Augmentation and induction of labor
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Best Grades | Must Pass | Latest Update | Correct Answers | 2024/ 2025


Augmentation and induction of labor
Questions and Correct Answers | Latest
Update
What is labor augmentation?


 Process of increasing the frequency and/or strength of ctx to bring a

faster labor or faster birth




What are the three methods of labor augmentation?


 nipple stimulation




AROM




oxytocin




Nipple stim


 release of oxytocin via breast stim (resembling breastfeeding)




pros: "natural oxytocin" , some self control




What are some cons about nipple stim?



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, Best Grades | Must Pass | Latest Update | Correct Answers | 2024/ 2025

 unpredictable, reports of tetanic ctx unrelieved by usual intrauterine

resuscitation methods except terbutaline




no good evidence-based studies




pg person may not be comfortable




AROM mechanism


 releases prostaglandins




fetal presenting part puts pressure on cervix




can advance fetal stations




Benefits of AROM


 augment labor




know if meconium is present- can transfer from home/ prepare for pedes etc




~ 1 ~ for inquiry mail me @ supergrades12@gmail.com

, Best Grades | Must Pass | Latest Update | Correct Answers | 2024/ 2025

Risks of AROM


 cord prolapse




engages presenting part in malposition




increased risk of variables d/t loss of amniotic cushion




increased risk of infection




1987 Cohen & Colleagues looked at whether aggressive management lowered CS - what did

they find?


 Agressive management did not seem to have any affect on c/s rate nor

did it shorten labor




2013 Cochrane review of high dose vs low dose oxytocin found that.....


 No significant differences in APGAR or umbilical pH




High dose reduced CS and increased vaginal birth




Oxytocin use for augmentation protocols


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