L&B/Management related to pharmocodynamics Flashcards
L&B Medications/Cervical Ripening
Ripening of the cervix can be done with prostaglandins or with special devices
L&B Medications/Cervical Ripening/Prostaglandins
Prostaglandins are drugs that can be used to ripen the cervix. They are forms of chemicals produced naturally by the body. These drugs can be inserted into the vagina or taken by mouth. Some of these drugs are not used in women who have had a previous cesarean delivery or other uterine surgery to avoid increasing the possible risk of uterine rupture (tearing).
L&B Medications/Labor induction or augmentation
What is oxytocin (Pitocin)?
Oxytocin is a hormone that causes contractions of the uterus. It can be used to start labor or to speed up labor that began on its own. Contractions usually start in about 30 minutes after oxytocin is given.
Oxytocin is a hormone that causes contractions of the uterus. It can be used to start labor or to speed up labor that began on its own. Contractions usually start in about 30 minutes after oxytocin is given.
L&B Medications/Labor induction or augmentation
What are the risks associated with labor induction?
With some methods, the uterus can be overstimulated, causing it to contract too frequently. Too many contractions may lead to changes in the fetal heart rate, umbilical cord problems, and other problems. Other risks of cervical ripening and labor induction include the following:
Infection in the mother or baby
Uterine rupture
Increased risk of cesarean birth
Fetal death
L&B Medications/Labor induction or augmentation
Is labor induction always effective?
Sometimes labor induction does not work. A failed attempt at induction may mean that you will need to try another induction or have a cesarean delivery. The chance of having a cesarean delivery is greatly increased for first-time mothers who have labor induction, especially if the cervix is not ready for labor.
L&B Medications/Labor induction or augmentation
Why is labor induced?
Labor is induced to stimulate contractions of the uterus in an effort to have a vaginal birth. Labor induction may be recommended if the health of the mother or fetus is at risk. In special situations, labor is induced for nonmedical reasons, such as living far away from the hospital. This is called elective induction. Elective induction should not occur before 39 weeks of pregnancy.
