LabourInduction - Inductionoflabour practice...

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Induction of labour  practice  recommendations Dr. Mohammed Abdalla Egypt, Domiat G. Hospital
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Labour The process of uterine contractions leading  to progressive effacement and dilatation  of the cervix and birth of the baby. The  term is usually restricted to pregnancies  at gestations greater than the legal  definition of fetal viability(26wk)
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Induction of labour An intervention designed to artificially  initiate uterine contractions leading to  progressive dilatation and effacement of  the cervix and birth of the baby. This  includes both women with intact  membranes and women with  spontaneous rupture of the membranes  but who are not in labour.
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Augmentation An intervention designed to  increase the rate of progress of  labour 
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Dilatation of cervix (cm) 0 1-2 3-4 >=5 Consistency of cervix Firm Medium Soft Length of cervical canal (cm) < 2 2-1 1-0.5 <0.5 Position of cervix Posterior Central Anterior Station (cm above ischial spines) 3 2 1or 0 below 0 1 2 3 Cervical favourability
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tachysystole  (more than five  contractions per ten minutes for at least  20 minutes) uterine hypersystole/hypertonus  (a contraction lasting at least two minutes).  Uterine hypercontractility
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Care during induction  of labour
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Care during induction of labour Verbal advice should be supported by  accurate printed information, in a format  that women can understand and which  they may take away with them and read  before the procedure. 
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The process of induction of  labour should only be  considered when vaginal  delivery is felt to be the  appropriate route of delivery  Care during induction of labour
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Wherever induction of labour  occurs, facilities should be  available for continuous uterine  and FHR monitoring. ( C Care during induction of labour
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For women who are healthy and have had  an otherwise uncomplicated pregnancy,  the assessment of fetal wellbeing  following the administration of vaginal  prostaglandins should comprise an  initial assessment with continuous  electronic fetal monitoring and, once  normality is confirmed, intermittent  monitoring can be used. ( C Care during induction of labour
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Where oxytocin is being used  for induction or augmentation  of labour, continuous  electronic fetal monitoring  should be used. ( C ) Care during induction of labour
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In cases of uterine hypercontractility  with a suspicious or pathological CTG  secondary to oxytocin infusions, the  oxytocin infusion should be decreased  or discontinued. ( B In the presence of abnormal FHR  patterns and uterine hypercontractility 
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This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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LabourInduction - Inductionoflabour practice...

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