Cervical Ripening

Question 0

Cervidil, Prepidil

Prostaglandin agents

Answer 0

Cause cervical ripening, short labor, and lower requirements for oxytocin during induction
Route: intracervical, insert into posterior vagina
2 cm² piece of cardboard like material
Advantage: reduce incidence of C-section
Disadvantage: higher incidence of postpartum image
Caution: in women with compromised cardiovascular, Hepatic, or renal function, asthma
or glaucoma
Remove: in hyperstimulation, active labor

Question 1

Misoprostol (Cytotec)

PGE1 analog

Answer 1

Soften and ripen the cervix and to induce labor, typically deliver within 24 hours of administration
Route: vaginal, oral, sublingual
Dose: 25 µg, not to exceed intervals more than 3 to 6 hours
Pitocin should not be a minister less than four hours after (more effective than Pitocin)

Question 2

Labor induction

Answer 2

Stimulation of uterine contraction before spontaneous onset of labor with or without ruptured membranes

Question 3

Labor augmentation

Answer 3

Artificial stimulation of uterine contractions when spontaneous contractions have failed to dilate cervix or descent fetus

Question 4

Oxytocin infusion

Answer 4

10 to 20 units of oxytocin added to 1L of LR
Maximum dose: between 16 and 40 million units a minute
Dose: 10 to 20 miliunits of oxytocin Per milliliter
Low dose: 0.5 to 2 mu/min increasing 1 to 2 mu/min every 15 to 40 minutes until adequate labor
High dose: 6 mu/min increase of 3 to 6 mu/min. Every 20 to 40 minutes

Question 5

Amniotomy

Answer 5

Artificial rupture of amniotic membranes AROM
** most common procedure performed in OB
Must be you 2 cm dilated