Induction Of Labor

Induction of labor is the stimulation of uterine contractions before the start of a spontaneous birth with the aim to achieve a vaginal delivery.

Induction of labor is the stimulation of uterine contractions before the start of a spontaneous birth with the aim to achieve a vaginal delivery. Indications induction of labor may be Medically indicated (z. B. in pre-eclampsia or fetal impairment) Elective (to control when to make childbirth) before elective Introduction gestational age must be judged. Elective induction is not recommended before the 39th week of pregnancy. Among the contraindications to initiation include operations in the area of ??the corpus uteri Open fetal surgery (. Eg Myelomeningozelen repair) myomectomy with entry into the uterine cavity Preceding classical or verikale Caesarean section in the thickened, muscular area of ??the uterus Active genital herpes placenta or Vasa praevia Abnormal fetal position (z. B. transverse position, the presence of the umbilical cord, certain fetopelvine mismatches) Several old uterine scar and breech presentation are considered relative contraindications. Technical Procedure If the cervix closed, obtain and record is (immature findings), the aim, the dilation and depleting the cervix bring (mature findings). Various pharmacological or mechanical methods may be used. These include: misoprostol, 25 ug vaginally every 3-6 hours administered prostaglandin E2 interzervikal administered (o, 5 mag) or as an intravaginal pessary (10 mg) (Prostaglandins are contraindicated in women with old caesarean section or uterine surgery, since these drugs the risk increase of uterine rupture.) oxytocin in low or high doses, the use of Laminaria and transcervical balloon catheter, which can be useful when other methods are ineffective or contraindications. If the cervix is ??ripe, the birth is initiated. A constant i.v. Infusion of oxytocin is the most common method anwandte; it is safe and inexpensive. Low-dose oxytocin is given in 0.5-2 mI.E./min, rising by 1-2 mI.E./min, usually every 15-60 minutes. High-dose oxytocin is given in mI.E./min 6, increasing by 1-6 mI.E./min all 15-40 minutes to a maximum of 40 mI.E./min. can mI.E./min at doses> 40 excessive fluid retention lead to water intoxication. The use of oxytocin should be monitored to prevent Gebärmuttertachysystole (> 5 contractions in 10 minutes on average about 30 minutes) that could harm the child. Routinely done the external fetal monitoring; after Amniotomy (intended rupture of membranes) may be an internal monitoring displayed when the fetal status can not be judged from the outside. A Amniotomy can be done to speed up the birth, when the child’s head is in a convenient location for mature cervix and non-motile (swimming not) is.

Health Life Media Team

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