Augmentation and induction of labor Exam Questions and Answers

What is labor augmentation? - Process of increasing the frequency and/or strength of ctx to bring a faster labor or faster birth What are the three methods of labor augmentation? - nipple stimulation AROM oxytocin Nipple stim - release of oxytocin via breast stim (resembling breastfeeding) pros: "natural oxytocin" , some self control What are some cons about nipple stim? - unpredictable, reports of tetanic ctx unrelieved by usual intrauterine resuscitation methods except terbutaline no good evidence-based studies pg person may not be comfortable AROM mechanism - releases prostaglandins fetal presenting part puts pressure on cervix can advance fetal stations Benefits of AROM - augment labor know if meconium is present- can transfer from home/ prepare for pedes etc Risks of AROM - cord prolapse engages presenting part in malposition increased risk of variables d/t loss of amniotic cushion increased risk of infection 1987 Cohen & Colleagues looked at whether aggressive management lowered CS - what did they find? - Agressive management did not seem to have any affect on c/s rate nor did it shorten labor 2013 Cochrane review of high dose vs low dose oxytocin found that..... - No significant differences in APGAR or umbilical pH