Article: Controversies in Labor Flashcards
The Listening to Mothers II study discovered that what percentage of pregnancies were an “elected delivery”?
52%. This includes C-section and induced labor
Why do so many women have these labor inductions?
They are uninformed of the potential dangers that can occur to themselves or their baby
Why are hospitals allowing this to happen?
Scheduled deliveries are more convenient
Why does labor start?
We dont know the biochemical mechanism
What are the indications for the induction of labor? (7)
- (Pre) Eclampsia
- Maternal DM
- Premature rupture of membranes
- Chorioamnionitis
- IUGR
- Fetal demise
- Post-term pregnancy
What costs more, scheduled birth or spontaneous birth?
Scheduled birth
Most common drug used in the induction of labor?
Oxytocin
AE’s of oxytocin? (2)
- Hyperstimulation of uterus –> postpartum hemorrhage
2. Anti-ADH function –> water intoxication & hyponatremia
What are the 2 prostaglandins (on our drug list) that are used to induce labor?
- Dinoprostone
2. Misoprostol
This prostaglandin is a time released capsule that is taken intravaginally. It can easily be removed from the vaginal fornix if uterine hyperstimulation occurs
Dinoprostone
This drug is a prostaglandin E1 analog. It has increased risk for uterine hyperstimulation and rupture
Misoprostol
What are the 6 herbal remedies used for labor induction? These are OTC drugs
- Blue Cohosh
- Black Cohosh
- Oil of evening primrose
- Castor oil
- Cotton bark root
- Bethroot
3 more weird things that are thought to induce labor?
- Accupuncture
- Sex
- Nipple stimulation
