Cervical Rippening Flashcards
Refers to softening and effacing of the cervix
May be used for the pregnant woman at or near term when there is a medical or obstetric indication for induction of labor
An internal announcement that labor is very close at hand
Cervical Ripening
• A nonpharmacologic method of
induction frequently used by
physicians/CNMs (or sweeping the
amniotic membranes)
• The practitioner inserts a gloved
finger into the internal os and
rotates it 360 degrees twice,
separating the amniotic membranes
that are lying against the lower
uterine segment.
• To release prostaglandins that
stimulate uterine contractions
Stripping the membranes
suppositories of seaweed that swell on
contact with cervical secretions which
gradually and gently urge dilatation
Hygroscopic Suppositories
• shorten labor, and to lower requirements for Pitocin during labor induction
• Prostaglandin gel is used in a hospital birthing unit, and it is recommended that an obstetrician be available in case of emergency caesarean birth is needed
Note: major adverse reaction - tachysystol
Prostaglandin Agents
a synthetic PGE1 analogue that some
healthcare agencies use to ripen the cervix and induce labor
• available as a tablet that is inserted vaginally
Misoprostol (CYTOTEC)
•Is taken to prevent stomach ulcers in patients taking
anti-inflammatory drugs, including aspirin.
•It’s use for cervical ripening or labor induction remains an off label use for misoprostol.
•Not be used in induction of labor after previous cesarean section or major uterine surgery, due to a significant risk of uterine rupture
Cytotec
MECHANICAL METHODS:
balloon-tipped foley catheter in the cervix with possible saline infusion through the catheter into the space between the
internal os and intact membranes
1.) Transcervical catheter
2.) Placement of hydrophilic inserts into the cervical canal
