13 - Obs - Labour - Induction of Labour

Question 1

Augmentation = ? contractions of already established ?. ? done where allowing preg to continue would risk fetus/mother.
Success depends on state/favorability of ?. Related to ? (degree of effacement/dilatation), ? of head and cervical position (ant/post). Scored/? = ? score – lower = more ? cervix. ?????
also used.

Answer 1

strengthening
labour
induction
cervix
consistency
station
/10
Bishops
unfavourable
TVUSS

Question 2

Induction with Prostaglandins:
???? gel (2mg) inserted into ?
 vaginal fornix. Starts ? or ?
 cervix to allow ?. Another dose may be given ?h later providing there was no ?
 activity.

Answer 2

PGE2
posterior
labour
ripens
amniotomy
6h
uterine

Question 3

Induction with Amniotomy +/- ?
Forewaters ruptured w ?
(ARM). Oxytocin infusion then started within ?h if no ?. Oxytocin used alone if ?rupture of membranes, ??s as effective.

Answer 3

oxytocin
amnihook
2
labour
spont
PGs

Question 4

Natural Induction

Cervical sweep: ? through cervix and ‘stripping’ between the ? and ? ?. At 40wks reduces chance of induction. Can be ?.

Answer 4

finger
membranes
lower segment
uncomfortable

Question 5

Common indications for induction - ? preg, suspected ? ?, ? ? rupture of membranes, ?, Medical disease: ? or ?

Answer 5

prolonged
growth restriction
prelabour term
preeclampsia
DM, HTN

Question 6

Contraindications

Absolute: Acute fetal ?, ? lie, PP, pelvic ?/cephalo-? dis. Usually inappropriate after >1 ? ?

Relative: One prev ? ? (risk of ? rupture) and ?

Answer 6

compromise
abnormal
obstruction
pelvic
c/s

c/s
scar
prematurity

Question 7

Management of Induced Labour

Fetus is at ? risk. ??? used for an hour, 1h after use of ??s/when they stim ? activity. ?
commonly req in labour, also warrants ??? monitoring. Induction commonly ? time spent in ? labour – warn of this.

Answer 7

incr
CTG
PGs
uterine 
oxytocin
CTG
incr
early

Question 8

Complications

Labour may fail to ? or be slow due to inefficient ?
activity. Risk of ? or ? ? is incr. ? of uterus can occur: hyperstim – rare but -> fetal ?
and even uterine ?. Cord can ? at amniotomy. ??? more likely, also intra and postpartum ?. Prematurity can follow

Answer 8

start
uterine
instrumental
c/s
Overactivity
distress
rupture
prolapse
PPH
infection