Medicine an Surgery notes

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MOI TEACHING AND REFERRAL HOSPITAL (MTRH).DIVISION OF REPRODUCTIVE HEALTH. Induction of Labor ProtocolPurposeTo outline the process of Induction of Labor at MTRHResponsible StaffAll medical and paramedical staff in the Obstetric Unit.Definitions1. LaborLabor is a sequence of uterine contractions that results in progressive effacement and dilatation of the cervix leading to the expulsion of the products of conception per vagina.2. Induction of laborA procedure designed to safely initiate labor, iatrogenically, for specific obstetric indications.3. AugmentationAugmentation is the use of oxytocics to increase the frequency, intensity and duration of uterine contractions in a patient whose labor has commenced spontaneously but is proceeding slower than acceptable as per partograph.4. Cervical RipeningCervical ripening is the thinning, softening, relaxation and opening of the cervix prior to and in response to uterine contractions which can occur spontaneously or be started iatrogenically.BackgroundCervical RipeningPharmacological OptionsA. ProstaglandinsMisoprostol (PGE1): 25 ug, 4-6 hrly vaginally. Can be given orally or rectally also. Misoprostol referred to

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