Medicine an Surgery notes

Apr 24th, 2015
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INDUCTION AND AUGMENTATION OF LABORDefinition:A good labour pattern is established when there are three contractions in 10 minutes, each lasting more than 40 secondsInduction of labor: Refers to iatrogenic initiation of uterine contractions to accomplish delivery prior to the onset of spontaneous labor.Augmentation of labor: Stimulating the uterus during labour to increase the frequency, duration and strength of contractions It refers to stimulation of spontaneous contractions that are considered inadequate because of failure of progressive dilatation and descent.Labor induction should be performed only after appropriate assessment of the mother and fetus, and after the indications for induction have been explained to the patient.In the absence of medical indications for induction, fetal maturity must be confirmed by either pregnancy dating, ultrasound measurements, and/or amniotic fluid analysis.Evaluation of the cervical status in terms of effacement and softening is important in predicting success of induction and is highly recommended before any elective inductionIndicationsLabor may be induced for either maternal or fetal indications. Induction of labor is undertaken when both of the following criteria are met: Continuing the pregnancy is believed to be associated with greater maternal or fetal risk than intervention to deliver the pregnancy, and There is no contraindication to vaginal birthThe following are common indications for induction of labor:1

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