Medical brain Notes 3

  INDUCTION OF LABOUR   At the end of this chapter the students will be able to:   ·          Identify indications of induction of labour   ·          Mention standard protocol of induction   ·          Define Augumentation   ·          List indicators of failure of trial of labour     Definition : Induction is the initiation of labour by artificial means Labour should be induced for medical or obstetrical reasons.   Type   i.                       Medical - using drugs alone Syntocinon & prostaglandin E 2   ii.                       Surgical-aminiotomy or membranes...

  Augmentation (Stimulation) Of Labour   Aguentation of labour refers to the process of promoting more effective uterine contractions when labour has already begun supontaneously but then becomes weak, irregular or ineffective (hypotonic) that assistance is needed to strengthen them. The most commonly used methods of labour augmentation are also methods for induction of labour:   ·          Amniotomy   ·          Intravenous oxytocin infusion and nipple and breast stimulation to increase endogenous oxytocin secretion.   Amnitomy is not as predicatble or effective stimulator of labour as oxytocin induction. If may lead to increased incidence of fetal head trauma and increase the risk of cord compression and prolapse and of caesarean delivery.   Prequations regarding oxytocin assist are the same as for primary induction of labour. A uterus may be very responsive to oxytocin when i...

  Trial of Labour   Definition: - A test given to a woman with mild or moderate CPD to see if she can deliver her baby with least damage to her self & baby.   The out come of a trial of labour depends on :-   ·          The trenght of uterine contraction   ·          The stretch of the pelvic joints & ligaments   ·          The degree of moulding   ·          The attitude of the midwife   Management of a trial of labour   i.                       The trial of labour must be carried out in the hospital where there is a service for caeseraen section at any time. ii.                   ...