Medicine an Surgery notes

Apr 24th, 2015
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Induction of labourpracticerecommendationsDr. Mohammed AbdallaEgypt, Domiat G. HospitalLabourThe process of uterine contractions leadingto progressive effacement and dilatationof the cervix and birth of the baby. Theterm is usually restricted to pregnanciesat gestations greater than the legaldefinition of fetal viability(26wk)Induction of labourAn intervention designed to artificiallyinitiate uterine contractions leading toprogressive dilatation and effacement ofthe cervix and birth of the baby. Thisincludes both women with intactmembranes and women withspontaneous rupture of the membranesbut who are not in labour.AugmentationAn intervention designed toincrease the rate of progress oflabourCervical favourabilityDilatation of cervix (cm)Consistency of cervixLength of cervical canal(cm)Position of cervixStation (cm above ischialspines)012301-23-4>=5FirmMediumSoft>22-11-0.5Posterior3<0.5Central Anterior21or 0belowUterine hypercontractilitytachysystole (more than fivecontractions per ten minutes for at least20 minutes)uterine hypersystole/hypertonus(a contraction lasting at least two minutes).Care during inductionof labourCare during induction of labourVerbal advice should be supported byaccurate printed information, in a formatthat women can understand and whichthey may take away with them and readbefore the procedure.Care during induction of labourThe process of induction

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