L&B/Therapeutic procedures to assist with L&B (Hazards)

Question 1

Amniotomy

Answer 1

How can rupturing the amniotic sac bring on labor?

Rupturing the amniotic sac can start contractions. It also can make them stronger if they have already begun. The health care provider makes a small hole in the amniotic sac with a special tool. This procedure, called an amniotomy, may cause some discomfort.

Question 2

When is amniotomy done?

Answer 2

Amniotomy is done to start labor when the cervix is dilated and thinned and the baby’s head has moved down into the pelvis. Most women go into labor within hours after the amniotic sac breaks (their “water breaks”).

Question 3

What is “ripening the cervix”?

Answer 3

Ripening the cervix is a process that helps the cervix soften and thin out in preparation for labor. Medications or devices may be used to soften the cervix so it will stretch (dilate) for labor.

Question 4

How is cervical ripening performed?

Answer 4

Ripening of the cervix can be done with prostaglandins or with special devices.

Question 5

What devices are used to ripen and dilate the cervix?

Answer 5

Laminaria (a substance that absorbs water) can be inserted to expand the cervix. A catheter (small tube) with an inflatable balloon on the end also can be inserted to widen the cervix.

Question 6

Laminaria is use for?

Answer 6

Laminaria (a substance that absorbs water) can be inserted to expand the cervix. A catheter (small tube) with an inflatable balloon on the end also can be inserted to widen the cervix.

Question 7

What is “stripping the membranes?”

Answer 7

Stripping the membranes is a way to induce labor. The health care provider sweeps a gloved finger over the thin membranes that connect the amniotic sac to the wall of your uterus. This action may cause your body to release prostaglandins, which soften the cervix and may cause contractions.

Question 8

Amnioinfusion

Answer 8

Amnioinfusion has been advocated as a technique to reduce the incidence of meconium aspiration and to improve neonatal outcome. Although generally considered safe, reported complications associated with amnioinfusion include uterine hypertonus, uterine rupture, placental abruption, chorioamnionitis, nonreassuring fetal heart rate tracing, maternal pulmonary embolus, and maternal death